Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $630.96	Professional		$281.84	$398.11	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $1,096.48	Professional		$302.00	$302.00	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,288.25	Professional		$676.08	$851.14	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $602.56 / $831.76	Facility		$213.80	$602.56	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $851.14	Professional		$302.00	$302.00	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $489.78 / $891.25	Facility		$251.19	$489.78	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $371.54 / $489.78	Professional		$295.12	$371.54	$489.78