Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,069.71 / $3,069.71 / $3,069.71	Facility		$3,069.71	$3,069.71	$3,069.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,947.82 / $4,112.25 / $4,112.25	Professional		$2,947.82	$4,112.25	$4,112.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.50 / $479.92 / $479.92	Professional		$422.50	$479.92	$479.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $464.24 / $870.45 / $8,630.28	Professional		$464.24	$870.45	$8,630.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $847.74 / $3,475.14 / $5,096.87	Facility		$847.74	$3,475.14	$5,096.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $422.50 / $479.92 / $479.92	Professional		$422.50	$479.92	$479.92
United Facility/Professional Professional Modifier Low / Median / High Price $2,863.33 / $3,123.63 / $5,345.43	Professional		$2,863.33	$3,123.63	$5,345.43