Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,152.77 / $2,305.53 / $4,611.06	Facility		$1,152.77	$2,305.53	$4,611.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,152.77 / $1,152.77 / $1,152.77	Professional		$1,152.77	$1,152.77	$1,152.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $999.06 / $999.06 / $999.06	Facility		$999.06	$999.06	$999.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,382.38 / $2,505.34 / $2,505.34	Professional		$2,382.38	$2,505.34	$2,505.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $999.06 / $999.06 / $1,936.65	Facility		$999.06	$999.06	$1,936.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,621.56 / $1,621.56 / $1,844.42	Professional		$1,621.56	$1,621.56	$1,844.42
United Facility/Professional Professional Modifier Low / Median / High Price $645.54 / $645.54 / $922.21	Professional		$645.54	$645.54	$922.21