Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,147.60 / $3,147.60 / $3,147.60	Facility		$3,147.60	$3,147.60	$3,147.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $961.45 / $3,876.75 / $4,060.93	Professional		$961.45	$3,876.75	$4,060.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,718.86 / $5,020.47 / $6,720.35	Professional		$3,718.86	$5,020.47	$6,720.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $1,500.00 / $1,968.27	Professional		$60.00	$1,500.00	$1,968.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $804.30 / $2,807.82 / $4,271.60	Facility		$804.30	$2,807.82	$4,271.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,564.94 / $4,610.27 / $5,579.91	Professional		$3,564.94	$4,610.27	$5,579.91
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $11,259.00 / $16,897.00	Facility		$899.00	$11,259.00	$16,897.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,102.88 / $4,071.61 / $5,700.26	Professional		$2,102.88	$4,071.61	$5,700.26