Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $886.09 / $886.09 / $886.09	Facility		$886.09	$886.09	$886.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.09 / $1,209.58 / $4,944.85	Professional		$886.09	$1,209.58	$4,944.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $926.75 / $926.75 / $926.75	Facility		$926.75	$926.75	$926.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $787.74 / $787.74 / $2,041.96	Professional		$787.74	$787.74	$2,041.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,285.00 / $1,606.25 / $2,409.37	Professional		$1,285.00	$1,606.25	$2,409.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $477.68 / $477.68 / $1,207.09	Facility		$477.68	$477.68	$1,207.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $787.74 / $926.75 / $1,916.98	Professional		$787.74	$926.75	$1,916.98
United Facility/Professional Professional Modifier Low / Median / High Price $684.11 / $739.92 / $1,132.27	Professional		$684.11	$739.92	$1,132.27