Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,380.38 / $7,762.47	Facility		$870.96	$1,380.38	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $1,096.48	Professional		$489.78	$602.56	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $831.76 / $1,995.26	Professional		$489.78	$831.76	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $169.82	Professional		$32.36	$33.11	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $831.76 / $1,202.26	Facility		$588.84	$831.76	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $870.96 / $1,380.38	Professional		$562.34	$870.96	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $9,120.11 / $14,125.38	Facility		$794.33	$9,120.11	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,148.15	Professional		$602.56	$831.76	$1,148.15