Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.36 / $657.36 / $657.36	Facility		$657.36	$657.36	$657.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.49 / $817.62 / $953.89	Professional		$556.49	$817.62	$953.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $845.38 / $1,083.41	Facility		$64.00	$845.38	$1,083.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.38 / $718.57 / $845.38	Professional		$77.38	$718.57	$845.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.03 / $102.54 / $153.81	Professional		$82.03	$102.54	$153.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.67 / $657.36 / $1,091.46	Facility		$96.67	$657.36	$1,091.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.38 / $718.57 / $845.38	Professional		$77.38	$718.57	$845.38
United Facility/Professional Professional Modifier Low / Median / High Price $65.62 / $115.82 / $386.93	Professional		$65.62	$115.82	$386.93