Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,089.30 / $7,762.47	Facility		$2,041.74	$2,089.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,513.56 / $3,235.94	Professional		$1,348.96	$1,513.56	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,041.74 / $2,570.40	Professional		$1,096.48	$2,041.74	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,949.84	Professional		$32.36	$33.11	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $3,388.44	Facility		$1,479.11	$1,949.84	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,995.26 / $2,570.40	Professional		$1,096.48	$1,995.26	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,128.61 / $19,498.45	Facility		$3,090.30	$5,128.61	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $3,090.30	Professional		$1,513.56	$1,995.26	$3,090.30