Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.55 / $228.55 / $228.55	Facility		$228.55	$228.55	$228.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.55 / $311.99 / $1,590.75	Professional		$228.55	$311.99	$1,590.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.52 / $274.52 / $274.52	Facility		$274.52	$274.52	$274.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $274.52 / $274.52	Professional		$200.41	$274.52	$274.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $331.44 / $414.31 / $621.46	Professional		$331.44	$414.31	$621.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.44 / $133.44 / $311.36	Facility		$133.44	$133.44	$311.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $274.52 / $498.44	Professional		$200.41	$274.52	$498.44
United Facility/Professional Professional Modifier Low / Median / High Price $191.11 / $206.69 / $316.30	Professional		$191.11	$206.69	$316.30