Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Facility		$4,677.35	$4,677.35	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,570.88 / $7,244.36	Professional		$3,548.13	$4,570.88	$7,244.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $12,589.25	Professional		$4,073.80	$4,073.80	$12,589.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $8,511.38 / $12,589.25	Professional		$6,760.83	$8,511.38	$12,589.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,888.44 / $8,709.64	Facility		$2,570.40	$5,888.44	$8,709.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $9,772.37	Professional		$4,073.80	$4,073.80	$9,772.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,754.40 / $10,232.93	Facility		$2,951.21	$5,754.40	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,168.69 / $5,754.40	Professional		$3,467.37	$4,168.69	$5,754.40