Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $7,762.47	Facility		$2,089.30	$2,754.23	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,137.96 / $8,912.51	Professional		$1,778.28	$2,137.96	$8,912.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,691.53 / $3,311.31	Professional		$2,041.74	$2,691.53	$3,311.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,630.27	Professional		$32.36	$33.11	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,630.27 / $6,918.31	Facility		$2,398.83	$2,630.27	$6,918.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,691.53 / $3,311.31	Professional		$2,041.74	$2,691.53	$3,311.31
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 $2,089.30 / $2,691.53 / $3,801.89	Professional		$2,089.30	$2,691.53	$3,801.89