Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.99 / $295.99 / $295.99	Facility		$295.99	$295.99	$295.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.50 / $404.05 / $1,854.26	Professional		$289.50	$404.05	$1,854.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.10 / $365.10 / $365.10	Facility		$365.10	$365.10	$365.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.52 / $365.10 / $365.10	Professional		$266.52	$365.10	$365.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $429.25 / $536.57 / $804.85	Professional		$429.25	$536.57	$804.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $155.24 / $155.24 / $403.23	Facility		$155.24	$155.24	$403.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $266.52 / $365.10 / $628.79	Professional		$266.52	$365.10	$628.79
United Facility/Professional Professional Modifier Low / Median / High Price $222.33 / $240.46 / $367.98	Professional		$222.33	$240.46	$367.98