Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,482.40 / $2,482.40 / $2,482.40	Facility		$2,482.40	$2,482.40	$2,482.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,482.40 / $3,388.67 / $16,049.10	Professional		$2,482.40	$3,388.67	$16,049.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,323.97 / $3,323.97 / $3,323.97	Facility		$3,323.97	$3,323.97	$3,323.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,426.50 / $3,323.97 / $3,323.97	Professional		$2,426.50	$3,323.97	$3,323.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,599.95 / $4,499.93 / $6,749.91	Professional		$3,599.95	$4,499.93	$6,749.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,295.85 / $3,295.85 / $3,323.97	Facility		$3,295.85	$3,295.85	$3,323.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,426.50 / $3,323.97 / $5,487.87	Professional		$2,426.50	$3,323.97	$5,487.87
United Facility/Professional Professional Modifier Low / Median / High Price $2,144.89 / $2,244.96 / $3,574.81	Professional		$2,144.89	$2,244.96	$3,574.81