Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,113.73 / $2,113.73 / $2,113.73	Facility		$2,113.73	$2,113.73	$2,113.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,113.73 / $2,885.40 / $10,733.00	Professional		$2,113.73	$2,885.40	$10,733.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,381.07 / $2,381.07 / $2,381.07	Facility		$2,381.07	$2,381.07	$2,381.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,738.18 / $2,381.07 / $2,381.07	Professional		$1,738.18	$2,381.07	$2,381.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,065.31 / $3,831.64 / $5,747.46	Professional		$3,065.31	$3,831.64	$5,747.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,930.43 / $2,494.36 / $2,494.36	Facility		$1,930.43	$2,494.36	$2,494.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,738.18 / $2,381.07 / $4,359.34	Professional		$1,738.18	$2,381.07	$4,359.34
United Facility/Professional Professional Modifier Low / Median / High Price $1,570.89 / $1,855.85 / $2,618.15	Professional		$1,570.89	$1,855.85	$2,618.15