Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,095.00 / $7,838.38	Facility		$1,000.00	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,092.84 / $1,194.68 / $6,492.23	Professional		$1,092.84	$1,194.68	$6,492.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,247.83 / $1,832.00 / $2,356.16	Professional		$1,247.83	$1,832.00	$2,356.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,948.29	Professional		$32.34	$32.34	$1,948.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,195.27 / $1,521.02 / $3,309.90	Facility		$1,195.27	$1,521.02	$3,309.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,263.88 / $1,934.14 / $3,051.91	Professional		$1,263.88	$1,934.14	$3,051.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,657.00 / $21,608.00 / $23,542.00	Facility		$1,657.00	$21,608.00	$23,542.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,346.04 / $1,840.84 / $2,918.43	Professional		$1,346.04	$1,840.84	$2,918.43