Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,037.83 / $3,037.83 / $3,037.83	Facility		$3,037.83	$3,037.83	$3,037.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,480.56 / $4,146.89 / $11,916.40	Professional		$2,480.56	$4,146.89	$11,916.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,148.57 / $3,148.57 / $3,148.57	Facility		$3,148.57	$3,148.57	$3,148.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,298.46 / $3,148.57 / $3,148.57	Professional		$2,298.46	$3,148.57	$3,148.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,405.45 / $5,506.82 / $8,260.23	Professional		$4,405.45	$5,506.82	$8,260.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,330.20 / $1,330.20 / $4,138.41	Facility		$1,330.20	$1,330.20	$4,138.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,298.46 / $3,148.57 / $4,907.16	Professional		$2,298.46	$3,148.57	$4,907.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.07 / $2,060.46 / $3,104.50	Professional		$1,905.07	$2,060.46	$3,104.50