Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $561.78 / $561.78 / $561.78	Facility		$561.78	$561.78	$561.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.40 / $766.87 / $3,365.28	Professional		$525.40	$766.87	$3,365.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $673.11 / $673.11 / $673.11	Facility		$673.11	$673.11	$673.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.37 / $673.11 / $673.11	Professional		$491.37	$673.11	$673.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $814.68 / $1,018.36 / $1,527.54	Professional		$814.68	$1,018.36	$1,527.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.75 / $281.75 / $765.31	Facility		$281.75	$281.75	$765.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $491.37 / $673.11 / $1,025.14	Professional		$491.37	$673.11	$1,025.14
United Facility/Professional Professional Modifier Low / Median / High Price $403.51 / $436.42 / $672.51	Professional		$403.51	$436.42	$672.51