Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.10 / $1,510.20 / $1,510.20	Facility		$755.10	$1,510.20	$1,510.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.55 / $377.55 / $377.55	Professional		$377.55	$377.55	$377.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $327.20 / $327.20	Facility		$327.20	$327.20	$327.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $525.00 / $656.25	Professional		$525.00	$525.00	$656.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $276.87 / $276.87 / $276.87	Professional		$276.87	$276.87	$276.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.23 / $503.40 / $604.08	Facility		$478.23	$503.40	$604.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $412.79 / $503.40 / $503.40	Professional		$412.79	$503.40	$503.40
United Facility/Professional Professional Modifier Low / Median / High Price $211.43 / $211.43 / $302.04	Professional		$211.43	$211.43	$302.04