Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.11 / $657.11 / $657.11	Facility		$657.11	$657.11	$657.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.11 / $1,009.13 / $5,155.21	Professional		$657.11	$1,009.13	$5,155.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $837.35 / $837.35 / $837.35	Facility		$837.35	$837.35	$837.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.27 / $837.35 / $837.35	Professional		$611.27	$837.35	$837.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,072.04 / $1,340.06 / $2,010.09	Professional		$1,072.04	$1,340.06	$2,010.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $431.60 / $431.60 / $1,007.06	Facility		$431.60	$431.60	$1,007.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $611.27 / $837.35 / $1,570.39	Professional		$611.27	$837.35	$1,570.39
United Facility/Professional Facility Modifier Low / Median / High Price $662.58 / $662.58 / $662.58	Facility		$662.58	$662.58	$662.58
United Facility/Professional Professional Modifier Low / Median / High Price $607.03 / $668.54 / $1,007.06	Professional		$607.03	$668.54	$1,007.06