Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,000.27 / $7,838.38	Facility		$1,000.00	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $984.93 / $1,077.82 / $5,289.00	Professional		$984.93	$1,077.82	$5,289.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,106.60 / $1,650.92 / $2,148.37	Professional		$1,106.60	$1,650.92	$2,148.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,754.56	Professional		$32.34	$32.34	$1,754.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,076.42 / $1,353.33 / $1,715.24	Facility		$1,076.42	$1,353.33	$1,715.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,137.11 / $1,715.24 / $2,753.11	Professional		$1,137.11	$1,715.24	$2,753.11
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $11,259.00 / $16,897.00	Facility		$899.00	$11,259.00	$16,897.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,232.96 / $1,626.79 / $2,591.10	Professional		$1,232.96	$1,626.79	$2,591.10