Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,052.89	Facility		$1,052.89	$1,052.89	$1,052.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,063.42 / $1,337.17	Professional		$1,052.89	$1,063.42	$1,337.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,052.89	Facility		$1,052.89	$1,052.89	$1,052.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,052.89	Professional		$1,052.89	$1,052.89	$1,052.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $300.18 / $489.29	Professional		$70.00	$300.18	$489.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $984.69 / $1,052.89 / $1,158.18	Facility		$984.69	$1,052.89	$1,158.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $360.23 / $1,052.89 / $1,052.89	Professional		$360.23	$1,052.89	$1,052.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,052.89	Professional		$1,052.89	$1,052.89	$1,052.89