Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,073.80 / $8,709.64	Facility		$2,454.71	$4,073.80	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,754.23 / $5,248.07	Professional		$2,511.89	$2,754.23	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,981.07 / $9,120.11	Professional		$2,344.23	$3,981.07	$9,120.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,630.78 / $5,754.40	Facility		$2,630.27	$3,630.78	$5,754.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,168.69 / $6,456.54	Professional		$2,754.23	$4,168.69	$6,456.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $15,135.61 / $31,622.78	Facility		$1,023.29	$15,135.61	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,981.07 / $5,623.41	Professional		$2,818.38	$3,981.07	$5,623.41