Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,362.10 / $4,362.10 / $4,362.10	Facility		$4,362.10	$4,362.10	$4,362.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,221.18 / $5,954.63 / $22,150.00	Professional		$4,221.18	$5,954.63	$22,150.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,391.66 / $4,391.66 / $4,391.66	Facility		$4,391.66	$4,391.66	$4,391.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,732.91 / $4,391.66 / $4,391.66	Professional		$3,732.91	$4,391.66	$4,391.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,325.92 / $7,907.40 / $11,861.10	Professional		$6,325.92	$7,907.40	$11,861.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,263.62 / $2,263.62 / $5,942.45	Facility		$2,263.62	$2,263.62	$5,942.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,732.91 / $4,391.66 / $8,996.48	Professional		$3,732.91	$4,391.66	$8,996.48
United Facility/Professional Professional Modifier Low / Median / High Price $3,241.87 / $3,506.32 / $5,282.94	Professional		$3,241.87	$3,506.32	$5,282.94