Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $4,677.35	Professional		$1,819.70	$2,511.89	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $6,918.31	Professional		$2,187.76	$2,187.76	$6,918.31
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 $1,348.96 / $3,162.28 / $5,370.32	Facility		$1,348.96	$3,162.28	$5,370.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $5,623.41	Professional		$2,187.76	$2,187.76	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,162.28 / $5,623.41	Facility		$1,584.89	$3,162.28	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $3,162.28	Professional		$1,905.46	$2,398.83	$3,162.28