Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,702.98 / $5,702.98 / $5,702.98	Facility		$5,702.98	$5,702.98	$5,702.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,539.84 / $7,785.02 / $28,958.60	Professional		$5,539.84	$7,785.02	$28,958.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,652.12 / $6,652.12 / $6,652.12	Facility		$6,652.12	$6,652.12	$6,652.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,856.05 / $6,652.12 / $6,652.12	Professional		$4,856.05	$6,652.12	$6,652.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $8,270.43 / $10,338.04 / $15,507.06	Professional		$8,270.43	$10,338.04	$15,507.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,970.74 / $2,970.74 / $7,769.10	Facility		$2,970.74	$2,970.74	$7,769.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,856.05 / $6,652.12 / $11,761.88	Professional		$4,856.05	$6,652.12	$11,761.88
United Facility/Professional Professional Modifier Low / Median / High Price $4,254.60 / $5,039.09 / $7,041.76	Professional		$4,254.60	$5,039.09	$7,041.76