Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.82 / $7,838.38 / $7,838.38	Facility		$268.82	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.87 / $231.00 / $403.05	Professional		$219.87	$231.00	$403.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.87 / $384.02 / $474.65	Professional		$292.87	$384.02	$474.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $70.95 / $380.52	Professional		$32.34	$70.95	$380.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $274.22 / $349.01 / $379.67	Facility		$274.22	$349.01	$379.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $292.87 / $382.01 / $474.65	Professional		$292.87	$382.01	$474.65
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $4,262.00 / $17,636.00	Facility		$3,085.00	$4,262.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $307.33 / $391.23 / $570.24	Professional		$307.33	$391.23	$570.24