Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.76 / $788.09 / $788.09	Facility		$508.76	$788.09	$788.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.76 / $646.12 / $1,063.08	Professional		$508.76	$646.12	$1,063.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.76 / $508.76 / $508.76	Facility		$508.76	$508.76	$508.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.76 / $508.76 / $508.76	Professional		$508.76	$508.76	$508.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $369.07 / $369.07 / $369.07	Professional		$369.07	$369.07	$369.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $348.36 / $357.31 / $508.76	Facility		$348.36	$357.31	$508.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $508.76 / $508.76 / $508.76	Professional		$508.76	$508.76	$508.76
United Facility/Professional Professional Modifier Low / Median / High Price $508.76 / $508.76 / $508.76	Professional		$508.76	$508.76	$508.76