Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.30 / $349.30 / $349.30	Facility		$349.30	$349.30	$349.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.25 / $476.82 / $1,644.88	Professional		$287.25	$476.82	$1,644.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $298.85 / $298.85 / $298.85	Facility		$298.85	$298.85	$298.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.16 / $298.85 / $298.85	Professional		$218.16	$298.85	$298.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $506.55 / $633.19 / $949.78	Professional		$506.55	$633.19	$949.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.04 / $154.04 / $475.85	Facility		$154.04	$154.04	$475.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.16 / $298.85 / $732.95	Professional		$218.16	$298.85	$732.95
United Facility/Professional Professional Modifier Low / Median / High Price $220.61 / $287.51 / $359.50	Professional		$220.61	$287.51	$359.50