Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,648.76 / $6,595.05 / $6,595.05	Facility		$1,648.76	$6,595.05	$6,595.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,648.76 / $1,648.76 / $1,648.76	Professional		$1,648.76	$1,648.76	$1,648.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,428.93 / $1,428.93 / $1,428.93	Facility		$1,428.93	$1,428.93	$1,428.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,407.44 / $3,583.31 / $3,583.31	Professional		$3,407.44	$3,583.31	$3,583.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,428.93 / $1,428.93 / $2,769.92	Facility		$1,428.93	$1,428.93	$2,769.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,319.26 / $2,319.26 / $2,638.02	Professional		$2,319.26	$2,319.26	$2,638.02
United Facility/Professional Professional Modifier Low / Median / High Price $923.31 / $923.31 / $1,319.01	Professional		$923.31	$923.31	$1,319.01