Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,737.80 / $1,737.80	Facility		$794.33	$1,737.80	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $630.96	Professional		$371.54	$501.19	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,122.02	Professional		$812.83	$812.83	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $660.69 / $1,548.82	Facility		$354.81	$660.69	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $575.44 / $575.44	Professional		$562.34	$575.44	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $316.23	Professional		$223.87	$223.87	$316.23