Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,570.40 / $4,168.69	Professional		$1,862.09	$2,570.40	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $2,570.40 / $2,570.40	Professional		$295.12	$2,570.40	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $3,235.94 / $4,897.79	Professional		$181.97	$3,235.94	$4,897.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,949.84 / $3,090.30	Facility		$263.03	$1,949.84	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $2,187.76 / $2,570.40	Professional		$295.12	$2,187.76	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $281.84 / $2,818.38	Facility		$162.18	$281.84	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $275.42	Professional		$138.04	$177.83	$275.42