Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,218.52 / $1,218.52 / $1,218.52	Facility		$1,218.52	$1,218.52	$1,218.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,209.58 / $1,871.30 / $7,747.64	Professional		$1,209.58	$1,871.30	$7,747.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,544.16 / $1,544.16 / $1,544.16	Facility		$1,544.16	$1,544.16	$1,544.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,127.24 / $1,544.16 / $1,544.16	Professional		$1,127.24	$1,544.16	$1,544.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,987.98 / $2,484.98 / $3,727.47	Professional		$1,987.98	$2,484.98	$3,727.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $648.64 / $648.64 / $1,867.49	Facility		$648.64	$648.64	$1,867.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,127.24 / $1,544.16 / $2,623.45	Professional		$1,127.24	$1,544.16	$2,623.45
United Facility/Professional Professional Modifier Low / Median / High Price $912.29 / $1,004.74 / $1,513.50	Professional		$912.29	$1,004.74	$1,513.50