Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.57 / $1,222.29 / $1,222.29	Facility		$305.57	$1,222.29	$1,222.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.57 / $305.57 / $305.57	Professional		$305.57	$305.57	$305.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.83 / $264.83 / $264.83	Facility		$264.83	$264.83	$264.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $631.52 / $664.11 / $664.11	Professional		$631.52	$664.11	$664.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.54 / $264.83 / $407.43	Facility		$208.54	$264.83	$407.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $429.84 / $488.92 / $566.33	Professional		$429.84	$488.92	$566.33
United Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $69.51 / $99.31	Professional		$69.51	$69.51	$99.31