Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.84 / $1,203.84 / $1,203.84	Facility		$1,203.84	$1,203.84	$1,203.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $964.88 / $1,174.83 / $1,203.84	Professional		$964.88	$1,174.83	$1,203.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Facility		$120.00	$120.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $120.00 / $125.77	Professional		$102.00	$120.00	$125.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,987.70 / $2,699.96 / $2,699.96	Professional		$1,987.70	$2,699.96	$2,699.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $1,078.31 / $1,078.31	Facility		$120.00	$1,078.31	$1,078.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $120.00 / $1,408.14	Professional		$102.00	$120.00	$1,408.14
United Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $69.12 / $114.17	Professional		$68.50	$69.12	$114.17