Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.07 / $2,004.14 / $4,008.27	Facility		$1,002.07	$2,004.14	$4,008.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,002.07 / $1,603.31 / $1,603.31	Professional		$1,002.07	$1,603.31	$1,603.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $868.46 / $868.46 / $868.46	Facility		$868.46	$868.46	$868.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,070.94 / $2,177.83 / $2,177.83	Professional		$2,070.94	$2,177.83	$2,177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $868.46 / $868.46 / $1,683.47	Facility		$868.46	$868.46	$1,683.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,409.57 / $1,409.57 / $1,603.31	Professional		$1,409.57	$1,409.57	$1,603.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.48 / $1,202.48 / $1,202.48	Facility		$1,202.48	$1,202.48	$1,202.48
United Facility/Professional Professional Modifier Low / Median / High Price $561.16 / $561.16 / $801.65	Professional		$561.16	$561.16	$801.65