Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.90 / $516.90 / $516.90	Facility		$516.90	$516.90	$516.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.87 / $705.60 / $2,727.52	Professional		$490.87	$705.60	$2,727.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.69 / $510.69 / $510.69	Facility		$510.69	$510.69	$510.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.09 / $510.69 / $510.69	Professional		$434.09	$510.69	$510.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $749.60 / $937.00 / $1,405.50	Professional		$749.60	$937.00	$1,405.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.23 / $263.23 / $704.17	Facility		$263.23	$263.23	$704.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $434.09 / $510.69 / $1,098.05	Professional		$434.09	$510.69	$1,098.05
United Facility/Professional Professional Modifier Low / Median / High Price $376.99 / $425.67 / $614.34	Professional		$376.99	$425.67	$614.34