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 $877.38 / $877.38 / $877.38	Facility		$877.38	$877.38	$877.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $270.00 / $671.97	Professional		$270.00	$270.00	$671.97
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 / $440.72 / $877.38	Facility		$179.75	$440.72	$877.38
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 Facility Modifier Low / Median / High Price $824.45 / $824.45 / $824.45	Facility		$824.45	$824.45	$824.45
United Facility/Professional Professional Modifier Low / Median / High Price $318.13 / $319.75 / $840.78	Professional		$318.13	$319.75	$840.78