Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $1,080.00 / $2,160.00	Facility		$540.00	$1,080.00	$2,160.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $540.00 / $540.00	Professional		$540.00	$540.00	$540.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.00 / $468.00 / $468.00	Facility		$468.00	$468.00	$468.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,116.00 / $1,173.59 / $1,173.59	Professional		$1,116.00	$1,173.59	$1,173.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $468.00 / $720.00 / $907.20	Facility		$468.00	$720.00	$907.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $759.60 / $864.00 / $1,000.80	Professional		$759.60	$864.00	$1,000.80
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $302.39 / $432.00	Professional		$302.39	$302.39	$432.00