Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,838.38 / $7,838.38	Facility		$1,000.00	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,473.92 / $4,321.29 / $6,319.89	Professional		$3,473.92	$4,321.29	$6,319.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,800.85 / $4,800.85 / $4,800.85	Facility		$4,800.85	$4,800.85	$4,800.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,010.18 / $5,683.98 / $7,791.64	Professional		$4,010.18	$5,683.98	$7,791.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $6,677.25	Professional		$32.34	$32.34	$6,677.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,636.37 / $4,587.59 / $5,939.88	Facility		$3,636.37	$4,587.59	$5,939.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,243.80 / $6,295.67 / $10,940.25	Professional		$4,243.80	$6,295.67	$10,940.25
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $4,616.00 / $17,636.00	Facility		$755.00	$4,616.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,358.62 / $6,047.57 / $8,826.74	Professional		$4,358.62	$6,047.57	$8,826.74