Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,785.70 / $12,785.70 / $12,785.70	Facility		$12,785.70	$12,785.70	$12,785.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11,519.83 / $17,453.49 / $64,344.50	Professional		$11,519.83	$17,453.49	$64,344.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,847.37 / $13,847.37 / $13,847.37	Facility		$13,847.37	$13,847.37	$13,847.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,108.58 / $13,847.37 / $13,847.37	Professional		$10,108.58	$13,847.37	$13,847.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $18,541.75 / $23,177.19 / $34,765.78	Professional		$18,541.75	$23,177.19	$34,765.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,177.51 / $6,177.51 / $17,417.80	Facility		$6,177.51	$6,177.51	$17,417.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $10,108.58 / $13,847.37 / $22,477.04	Professional		$10,108.58	$13,847.37	$22,477.04
United Facility/Professional Professional Modifier Low / Median / High Price $8,847.23 / $9,568.90 / $14,417.39	Professional		$8,847.23	$9,568.90	$14,417.39