Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $9,549.93 / $18,197.01	Facility		$6,760.83	$9,549.93	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,456.54 / $8,709.64	Professional		$6,165.95	$6,456.54	$8,709.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Facility		$6,165.95	$6,165.95	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Professional		$5,754.40	$5,754.40	$5,754.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $56.23 / $12,302.69	Facility		$38.90	$56.23	$12,302.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Facility		$6,165.95	$6,165.95	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,456.54	Professional		$6,165.95	$6,165.95	$6,456.54