Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.41 / $673.41 / $673.41	Facility		$673.41	$673.41	$673.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $673.41 / $1,034.16 / $4,931.74	Professional		$673.41	$1,034.16	$4,931.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $888.38 / $888.38 / $888.38	Facility		$888.38	$888.38	$888.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.52 / $888.38 / $888.38	Professional		$648.52	$888.38	$888.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,098.64 / $1,373.30 / $2,059.94	Professional		$1,098.64	$1,373.30	$2,059.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $442.31 / $442.31 / $1,032.05	Facility		$442.31	$442.31	$1,032.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $648.52 / $888.38 / $1,609.33	Professional		$648.52	$888.38	$1,609.33
United Facility/Professional Professional Modifier Low / Median / High Price $622.09 / $685.12 / $1,032.05	Professional		$622.09	$685.12	$1,032.05