Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.16 / $604.16 / $604.16	Facility		$604.16	$604.16	$604.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $604.16 / $927.81 / $4,650.60	Professional		$604.16	$927.81	$4,650.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $755.39 / $755.39 / $755.39	Facility		$755.39	$755.39	$755.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.42 / $755.38 / $755.39	Professional		$551.42	$755.38	$755.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $985.66 / $1,232.08 / $1,848.12	Professional		$985.66	$1,232.08	$1,848.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.35 / $389.35 / $925.92	Facility		$389.35	$389.35	$925.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $551.42 / $755.39 / $1,547.49	Professional		$551.42	$755.39	$1,547.49
United Facility/Professional Professional Modifier Low / Median / High Price $547.61 / $603.10 / $908.49	Professional		$547.61	$603.10	$908.49