Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.67 / $587.67 / $587.67	Facility		$587.67	$587.67	$587.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $587.67 / $902.50 / $4,148.45	Professional		$587.67	$902.50	$4,148.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.81 / $711.81 / $711.81	Facility		$711.81	$711.81	$711.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.62 / $711.81 / $713.37	Professional		$519.62	$711.81	$713.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $958.77 / $1,198.47 / $1,797.70	Professional		$958.77	$1,198.47	$1,797.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $347.31 / $347.31 / $900.67	Facility		$347.31	$347.31	$900.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $519.62 / $711.81 / $1,404.46	Professional		$519.62	$711.81	$1,404.46
United Facility/Professional Professional Modifier Low / Median / High Price $488.49 / $537.98 / $810.40	Professional		$488.49	$537.98	$810.40