Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,177.83 / $2,177.83 / $2,177.83	Facility		$2,177.83	$2,177.83	$2,177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,106.94 / $2,972.92 / $11,058.60	Professional		$2,106.94	$2,972.92	$11,058.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,540.30 / $2,540.30 / $2,540.30	Facility		$2,540.30	$2,540.30	$2,540.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,854.42 / $2,540.30 / $2,540.30	Professional		$1,854.42	$2,540.30	$2,540.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,158.28 / $3,947.86 / $5,921.79	Professional		$3,158.28	$3,947.86	$5,921.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,129.84 / $1,129.84 / $2,966.83	Facility		$1,129.84	$1,129.84	$2,966.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,854.42 / $2,540.30 / $4,491.56	Professional		$1,854.42	$2,540.30	$4,491.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,618.13 / $1,750.12 / $2,636.90	Professional		$1,618.13	$1,750.12	$2,636.90