Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $787.58 / $1,055.06 / $1,055.06	Professional		$787.58	$1,055.06	$1,055.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,042.44 / $1,042.44 / $1,042.44	Facility		$1,042.44	$1,042.44	$1,042.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.94 / $119.94 / $1,042.44	Professional		$119.94	$119.94	$1,042.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.97 / $254.56 / $1,821.22	Professional		$98.97	$254.56	$1,821.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $464.63 / $832.16 / $1,307.68	Facility		$464.63	$832.16	$1,307.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.94 / $458.40 / $1,042.44	Professional		$119.94	$458.40	$1,042.44
United Facility/Professional Professional Modifier Low / Median / High Price $570.79 / $714.14 / $882.55	Professional		$570.79	$714.14	$882.55