Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility		$6,456.54	$6,456.54	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $6,309.57 / $10,471.29	Professional		$4,466.84	$6,309.57	$10,471.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility		$8,128.31	$8,128.31	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $18,620.87	Professional		$5,888.44	$5,888.44	$18,620.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $11,748.98 / $17,782.79	Professional		$9,549.93	$11,748.98	$17,782.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $8,912.51 / $13,182.57	Facility		$3,388.44	$8,912.51	$13,182.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $14,454.40	Professional		$5,888.44	$5,888.44	$14,454.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,943.28 / $14,454.40	Facility		$4,073.80	$7,943.28	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,623.41 / $7,943.28	Professional		$4,897.79	$5,623.41	$7,943.28