Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,578.83 / $4,578.83 / $5,000.56	Facility		$4,578.83	$4,578.83	$5,000.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,855.86 / $3,952.25 / $4,578.83	Professional		$3,855.86	$3,952.25	$4,578.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,819.82 / $4,819.82 / $4,819.82	Facility		$4,819.82	$4,819.82	$4,819.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,819.82 / $4,819.82 / $4,819.82	Professional		$4,819.82	$4,819.82	$4,819.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $5,108.99 / $7,663.48	Professional		$1,500.00	$5,108.99	$7,663.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,134.73 / $4,783.14 / $5,791.16	Facility		$2,134.73	$4,783.14	$5,791.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,819.82 / $4,819.82 / $4,819.82	Professional		$4,819.82	$4,819.82	$4,819.82
United Facility/Professional Professional Modifier Low / Median / High Price $5,684.00 / $5,684.00 / $6,025.04	Professional		$5,684.00	$5,684.00	$6,025.04