Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.25 / $531.25 / $531.25	Facility		$531.25	$531.25	$531.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.14 / $531.25 / $1,200.06	Professional		$464.14	$531.25	$1,200.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $475.33 / $475.33 / $475.33	Facility		$475.33	$475.33	$475.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.33 / $475.33 / $475.33	Professional		$475.33	$475.33	$475.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $267.04 / $267.04 / $267.04	Professional		$267.04	$267.04	$267.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.65 / $160.22 / $475.33	Facility		$101.65	$160.22	$475.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $475.33 / $475.33 / $475.33	Professional		$475.33	$475.33	$475.33
United Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.26 / $4.26	Facility		$4.26	$4.26	$4.26
United Facility/Professional Professional Modifier Low / Median / High Price $466.01 / $466.01 / $466.01	Professional		$466.01	$466.01	$466.01