Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,388.44 / $7,762.47	Facility		$2,089.30	$3,388.44	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $5,128.61	Professional		$1,862.09	$2,398.83	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,090.30 / $4,168.69	Professional		$1,659.59	$3,090.30	$4,168.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,162.28	Professional		$32.36	$33.11	$3,162.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $4,786.30	Facility		$2,187.76	$2,884.03	$4,786.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,019.95 / $4,168.69	Professional		$1,659.59	$3,019.95	$4,168.69
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 $2,187.76 / $3,019.95 / $4,897.79	Professional		$2,187.76	$3,019.95	$4,897.79