Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $549.54 / $812.83	Professional		$478.63	$549.54	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,479.11	Professional		$912.01	$1,047.13	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $851.14 / $1,995.26	Facility		$457.09	$851.14	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $758.58 / $977.24	Professional		$724.44	$758.58	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $407.38	Professional		$288.40	$288.40	$407.38