Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $5,370.32	Professional		$2,187.76	$2,884.03	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $8,128.31	Professional		$2,630.27	$2,630.27	$8,128.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,786.30 / $7,244.36	Professional		$3,890.45	$4,786.30	$7,244.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,630.78 / $6,025.60	Facility		$1,548.82	$3,630.78	$6,025.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $6,456.54	Professional		$2,630.27	$2,630.27	$6,456.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,630.78 / $6,606.93	Facility		$1,862.09	$3,630.78	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,754.23 / $3,630.78	Professional		$2,238.72	$2,754.23	$3,630.78