Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,754.40 / $5,888.44	Facility		$2,630.27	$5,754.40	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,479.11 / $2,089.30	Professional		$1,318.26	$1,479.11	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $4,168.69	Professional		$3,019.95	$3,019.95	$4,168.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,344.23 / $5,128.61	Facility		$1,318.26	$2,344.23	$5,128.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,137.96 / $2,818.38	Professional		$1,862.09	$2,137.96	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,047.13	Professional		$741.31	$741.31	$1,047.13