Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.13 / $1,026.48 / $1,026.48	Facility		$175.13	$1,026.48	$1,026.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.13 / $241.06 / $313.57	Professional		$175.13	$241.06	$313.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.39 / $259.39 / $259.39	Facility		$259.39	$259.39	$259.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $270.00 / $283.20	Professional		$270.00	$270.00	$283.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $91.79 / $1,000.00	Professional		$60.00	$91.79	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $179.75 / $241.06 / $266.52	Facility		$179.75	$241.06	$266.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $270.00 / $898.50	Professional		$270.00	$270.00	$898.50
United Facility/Professional Professional Modifier Low / Median / High Price $93.96 / $94.44 / $257.97	Professional		$93.96	$94.44	$257.97