Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,454.06 / $1,947.89 / $1,947.89	Professional		$1,454.06	$1,947.89	$1,947.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,850.09 / $1,850.09 / $1,850.09	Facility		$1,850.09	$1,850.09	$1,850.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.23 / $249.23 / $1,850.09	Professional		$249.23	$249.23	$1,850.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $182.34 / $471.87 / $4,758.24	Professional		$182.34	$471.87	$4,758.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $999.23 / $1,593.38 / $2,414.28	Facility		$999.23	$1,593.38	$2,414.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $249.23 / $849.68 / $1,850.09	Professional		$249.23	$849.68	$1,850.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,555.14 / $1,873.91 / $3,053.04	Professional		$1,555.14	$1,873.91	$3,053.04