Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $398.11 / $398.11	Facility		$389.05	$398.11	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $331.13 / $758.58	Professional		$234.42	$331.13	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $676.08	Professional		$346.74	$489.78	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $263.03	Professional		$32.36	$33.11	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $257.04 / $776.25	Facility		$134.90	$257.04	$776.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $467.74 / $676.08	Professional		$251.19	$467.74	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,344.23 / $2,344.23	Facility		$1,071.52	$2,344.23	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $575.44	Professional		$208.93	$275.42	$575.44