Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $8,128.31 / $13,803.84	Professional		$6,165.95	$8,128.31	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility		$8,128.31	$8,128.31	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $8,128.31 / $8,128.31	Professional		$933.25	$8,128.31	$8,128.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,949.84 / $15,135.61	Professional		$338.84	$1,949.84	$15,135.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $6,918.31 / $10,232.93	Facility		$4,897.79	$6,918.31	$10,232.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $6,918.31 / $8,128.31	Professional		$933.25	$6,918.31	$8,128.31
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $891.25 / $5,888.44	Facility		$501.19	$891.25	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,715.35 / $5,888.44	Professional		$3,388.44	$3,715.35	$5,888.44