Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,312.00 / $1,312.00 / $1,312.00	Facility		$1,312.00	$1,312.00	$1,312.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,245.10 / $1,790.98 / $7,975.21	Professional		$1,245.10	$1,790.98	$7,975.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,295.39 / $1,295.39 / $1,295.39	Facility		$1,295.39	$1,295.39	$1,295.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $945.63 / $1,295.39 / $1,295.39	Professional		$945.63	$1,295.39	$1,295.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,902.65 / $2,378.32 / $3,567.48	Professional		$1,902.65	$2,378.32	$3,567.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $667.69 / $667.69 / $1,787.33	Facility		$667.69	$667.69	$1,787.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $945.63 / $1,295.39 / $2,787.10	Professional		$945.63	$1,295.39	$2,787.10
United Facility/Professional Professional Modifier Low / Median / High Price $956.25 / $1,162.41 / $1,582.68	Professional		$956.25	$1,162.41	$1,582.68