Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,125.94 / $1,125.94 / $1,125.94	Facility		$1,125.94	$1,125.94	$1,125.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $983.72 / $1,125.94 / $2,742.96	Professional		$983.72	$1,125.94	$2,742.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,046.93	Facility		$1,046.93	$1,046.93	$1,046.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,046.93	Professional		$1,046.93	$1,046.93	$1,046.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,066.11 / $1,066.11 / $1,066.11	Professional		$1,066.11	$1,066.11	$1,066.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,046.93	Facility		$1,046.93	$1,046.93	$1,046.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,046.93	Professional		$1,046.93	$1,046.93	$1,046.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,185.20 / $1,185.20 / $1,185.20	Professional		$1,185.20	$1,185.20	$1,185.20