Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,673.27 / $4,673.27 / $4,673.27	Facility		$4,673.27	$4,673.27	$4,673.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,567.02 / $6,379.39 / $24,908.90	Professional		$4,567.02	$6,379.39	$24,908.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,751.45 / $4,751.45 / $4,751.45	Facility		$4,751.45	$4,751.45	$4,751.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,038.73 / $4,751.45 / $4,751.45	Professional		$4,038.73	$4,751.45	$4,751.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,777.15 / $8,471.44 / $12,707.16	Professional		$6,777.15	$8,471.44	$12,707.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,571.52 / $2,571.52 / $5,658.85	Facility		$2,571.52	$2,571.52	$5,658.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,038.73 / $4,751.45 / $9,568.69	Professional		$4,038.73	$4,751.45	$9,568.69
United Facility/Professional Professional Modifier Low / Median / High Price $3,507.47 / $3,793.57 / $5,715.75	Professional		$3,507.47	$3,793.57	$5,715.75