Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,219.34 / $1,219.34 / $1,219.34	Facility		$1,219.34	$1,219.34	$1,219.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,219.34 / $1,872.57 / $8,798.95	Professional		$1,219.34	$1,872.57	$8,798.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,499.97 / $1,499.97 / $1,499.97	Facility		$1,499.97	$1,499.97	$1,499.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.98 / $1,499.97 / $1,499.97	Professional		$1,094.98	$1,499.97	$1,499.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,989.32 / $2,486.66 / $3,729.99	Professional		$1,989.32	$2,486.66	$3,729.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $736.66 / $736.66 / $1,868.75	Facility		$736.66	$736.66	$1,868.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,094.98 / $1,499.97 / $2,914.06	Professional		$1,094.98	$1,499.97	$2,914.06
United Facility/Professional Professional Modifier Low / Median / High Price $1,036.08 / $1,141.07 / $1,718.88	Professional		$1,036.08	$1,141.07	$1,718.88