Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.02 / $314.02 / $314.02	Facility		$314.02	$314.02	$314.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.02 / $482.25 / $1,929.35	Professional		$314.02	$482.25	$1,929.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.16 / $400.16 / $400.16	Facility		$400.16	$400.16	$400.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.12 / $400.16 / $400.16	Professional		$292.12	$400.16	$400.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $512.32 / $640.41 / $960.61	Professional		$512.32	$640.41	$960.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $206.26 / $206.26 / $481.27	Facility		$206.26	$206.26	$481.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $292.12 / $400.16 / $750.48	Professional		$292.12	$400.16	$750.48
United Facility/Professional Facility Modifier Low / Median / High Price $725.80 / $725.80 / $853.88	Facility		$725.80	$725.80	$853.88
United Facility/Professional Professional Modifier Low / Median / High Price $290.10 / $319.49 / $481.27	Professional		$290.10	$319.49	$481.27