Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.35 / $2,041.35 / $2,041.35	Facility		$2,041.35	$2,041.35	$2,041.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.35 / $2,786.61 / $13,059.90	Professional		$2,041.35	$2,786.61	$13,059.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,717.61 / $2,717.61 / $2,717.61	Facility		$2,717.61	$2,717.61	$2,717.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,983.86 / $2,717.61 / $2,717.61	Professional		$1,983.86	$2,717.61	$2,717.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,960.36 / $3,700.45 / $5,550.67	Professional		$2,960.36	$3,700.45	$5,550.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,191.82 / $1,191.82 / $2,780.91	Facility		$1,191.82	$1,191.82	$2,780.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,983.86 / $2,717.61 / $4,416.46	Professional		$1,983.86	$2,717.61	$4,416.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,706.88 / $1,846.11 / $2,825.05	Professional		$1,706.88	$1,846.11	$2,825.05