Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.58 / $621.58 / $621.58	Facility		$621.58	$621.58	$621.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.58 / $848.50 / $3,436.10	Professional		$621.58	$848.50	$3,436.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $957.73 / $957.73 / $957.73	Facility		$957.73	$957.73	$957.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.14 / $957.73 / $957.73	Professional		$699.14	$957.73	$957.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $901.40 / $1,126.76 / $1,690.14	Professional		$901.40	$1,126.76	$1,690.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $352.30 / $352.30 / $957.73	Facility		$352.30	$352.30	$957.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $699.14 / $957.73 / $1,320.42	Professional		$699.14	$957.73	$1,320.42
United Facility/Professional Professional Modifier Low / Median / High Price $504.55 / $545.71 / $835.07	Professional		$504.55	$545.71	$835.07