Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,630.78 / $7,762.47	Facility		$2,570.40	$3,630.78	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,090.30 / $11,748.98	Professional		$2,344.23	$3,090.30	$11,748.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,467.37 / $4,570.88	Professional		$2,630.27	$3,467.37	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,467.37	Professional		$32.36	$33.11	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,388.44 / $8,912.51	Facility		$2,630.27	$3,388.44	$8,912.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,388.44 / $4,570.88	Professional		$2,630.27	$3,388.44	$4,570.88
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 $2,570.40 / $3,548.13 / $4,786.30	Professional		$2,570.40	$3,548.13	$4,786.30