Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.30 / $212.30 / $212.30	Facility		$212.30	$212.30	$212.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.30 / $326.02 / $1,558.86	Professional		$212.30	$326.02	$1,558.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $253.20 / $253.20	Facility		$253.20	$253.20	$253.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.84 / $253.20 / $253.20	Professional		$184.84	$253.20	$253.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $346.36 / $432.95 / $649.42	Professional		$346.36	$432.95	$649.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.51 / $130.51 / $325.38	Facility		$130.51	$130.51	$325.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.84 / $253.20 / $507.36	Professional		$184.84	$253.20	$507.36
United Facility/Professional Professional Modifier Low / Median / High Price $183.55 / $202.16 / $304.52	Professional		$183.55	$202.16	$304.52