Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.14 / $624.14 / $624.14	Facility		$624.14	$624.14	$624.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.15 / $958.50 / $3,985.02	Professional		$622.15	$958.50	$3,985.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $732.96 / $732.96 / $732.96	Facility		$732.96	$732.96	$732.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.05 / $535.05 / $1,392.44	Professional		$535.05	$535.05	$1,392.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,018.25 / $1,272.82 / $1,909.23	Professional		$1,018.25	$1,272.82	$1,909.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $333.63 / $333.63 / $956.54	Facility		$333.63	$333.63	$956.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $535.05 / $732.96 / $1,437.90	Professional		$535.05	$732.96	$1,437.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,173.99 / $1,173.99 / $1,381.17	Facility		$1,173.99	$1,173.99	$1,381.17
United Facility/Professional Professional Modifier Low / Median / High Price $469.24 / $516.79 / $778.47	Professional		$469.24	$516.79	$778.47