Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,737.10 / $2,737.10 / $2,737.10	Facility		$2,737.10	$2,737.10	$2,737.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,648.01 / $3,736.36 / $13,898.50	Professional		$2,648.01	$3,736.36	$13,898.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,801.20 / $2,801.20 / $2,801.20	Facility		$2,801.20	$2,801.20	$2,801.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,044.88 / $2,044.88 / $6,065.06	Professional		$2,044.88	$2,044.88	$6,065.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,969.33 / $4,961.67 / $7,442.50	Professional		$3,969.33	$4,961.67	$7,442.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,420.00 / $1,420.00 / $3,728.72	Facility		$1,420.00	$1,420.00	$3,728.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,044.88 / $2,801.20 / $5,780.51	Professional		$2,044.88	$2,801.20	$5,780.51
United Facility/Professional Professional Modifier Low / Median / High Price $2,033.67 / $2,403.19 / $3,365.91	Professional		$2,033.67	$2,403.19	$3,365.91