Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,669.21 / $6,669.21 / $6,669.21	Facility		$6,669.21	$6,669.21	$6,669.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,445.78 / $9,104.00 / $27,156.00	Professional		$5,445.78	$9,104.00	$27,156.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,553.03 / $6,553.03 / $6,553.03	Facility		$6,553.03	$6,553.03	$6,553.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,783.71 / $6,553.03 / $6,553.03	Professional		$4,783.71	$6,553.03	$6,553.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $9,671.65 / $12,089.57 / $18,134.35	Professional		$9,671.65	$12,089.57	$18,134.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,920.30 / $2,920.30 / $9,085.37	Facility		$2,920.30	$2,920.30	$9,085.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,783.71 / $6,553.03 / $11,206.94	Professional		$4,783.71	$6,553.03	$11,206.94
United Facility/Professional Professional Modifier Low / Median / High Price $4,182.35 / $5,178.17 / $6,922.19	Professional		$4,182.35	$5,178.17	$6,922.19