Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $5,754.40 / $5,754.40	Facility		$5,248.07	$5,754.40	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,479.11	Professional		$870.96	$1,174.90	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,715.35	Professional		$2,691.53	$2,691.53	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,819.70 / $5,128.61	Facility		$1,122.02	$1,819.70	$5,128.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,905.46 / $2,511.89	Professional		$1,819.70	$1,905.46	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $707.95	Professional		$489.78	$489.78	$707.95