Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,984.21 / $3,984.21 / $3,984.21	Facility		$3,984.21	$3,984.21	$3,984.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,984.21 / $4,807.14 / $4,807.14	Professional		$3,984.21	$4,807.14	$4,807.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,320.00 / $16,960.00 / $16,960.00	Facility		$16,320.00	$16,960.00	$16,960.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,320.00 / $16,320.00 / $16,960.00	Professional		$16,320.00	$16,320.00	$16,960.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $17,977.50 / $17,977.50 / $26,966.26	Professional		$17,977.50	$17,977.50	$26,966.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,294.72 / $16,320.00 / $16,960.00	Facility		$5,294.72	$16,320.00	$16,960.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $16,320.00 / $16,320.00 / $16,960.00	Professional		$16,320.00	$16,320.00	$16,960.00
United Facility/Professional Professional Modifier Low / Median / High Price $19,200.00 / $19,200.00 / $19,200.00	Professional		$19,200.00	$19,200.00	$19,200.00