Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,838.38 / $7,838.38	Facility		$1,000.00	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.97 / $1,940.75 / $3,710.06	Professional		$1,778.97	$1,940.75	$3,710.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,178.94 / $3,252.16 / $4,096.21	Professional		$2,178.94	$3,252.16	$4,096.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $653.32 / $3,515.93	Professional		$32.34	$653.32	$3,515.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,170.94 / $2,763.01 / $3,185.48	Facility		$2,170.94	$2,763.01	$3,185.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,493.33 / $3,252.16 / $4,096.21	Professional		$2,493.33	$3,252.16	$4,096.21
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $4,262.00 / $17,636.00	Facility		$3,085.00	$4,262.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,594.41 / $3,214.81 / $5,100.56	Professional		$2,594.41	$3,214.81	$5,100.56