Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,584.89 / $2,570.40	Professional		$1,071.52	$1,584.89	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $4,466.84	Professional		$1,122.02	$1,122.02	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $4,365.16	Professional		$2,290.87	$2,884.03	$4,365.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,187.76 / $3,162.28	Facility		$794.33	$2,187.76	$3,162.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $3,801.89	Professional		$1,122.02	$1,122.02	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,862.09 / $3,388.44	Facility		$954.99	$1,862.09	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $1,862.09	Professional		$1,148.15	$1,412.54	$1,862.09