Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $977.24 / $1,000.00	Facility		$457.09	$977.24	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $1,995.26	Professional		$208.93	$281.84	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $338.84 / $426.58	Professional		$269.15	$338.84	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $467.74 / $645.65	Professional		$407.38	$467.74	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $389.05 / $891.25	Facility		$204.17	$389.05	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $436.52	Professional		$213.80	$338.84	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $181.97	Professional		$125.89	$125.89	$181.97