Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,023.29 / $1,047.13	Facility		$478.63	$1,023.29	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $2,089.30	Professional		$223.87	$302.00	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $363.08	Professional		$288.40	$288.40	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $691.83	Professional		$501.19	$501.19	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $416.87 / $933.25	Facility		$213.80	$416.87	$933.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $457.09	Professional		$288.40	$363.08	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $190.55	Professional		$134.90	$134.90	$190.55