Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $3,162.28	Professional		$1,621.81	$2,041.74	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $5,754.40	Professional		$1,819.70	$1,819.70	$5,754.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,168.69 / $6,309.57	Professional		$3,311.31	$4,168.69	$6,309.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,090.30 / $4,786.30	Facility		$1,148.15	$3,090.30	$4,786.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $5,128.61	Professional		$1,819.70	$1,819.70	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $4,786.30	Facility		$1,348.96	$1,949.84	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,778.28 / $2,630.27	Professional		$1,584.89	$1,778.28	$2,630.27