Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $651.26 / $872.45 / $872.45	Professional		$651.26	$872.45	$872.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.51 / $606.51 / $606.51	Facility		$606.51	$606.51	$606.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.05 / $606.51 / $606.51	Professional		$112.05	$606.51	$606.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $210.49 / $1,620.87	Professional		$81.81	$210.49	$1,620.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $445.72 / $688.13 / $1,081.33	Facility		$445.72	$688.13	$1,081.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.05 / $606.51 / $606.51	Professional		$112.05	$606.51	$606.51
United Facility/Professional Professional Modifier Low / Median / High Price $585.15 / $697.80 / $1,040.00	Professional		$585.15	$697.80	$1,040.00