Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $449.41 / $449.41	Facility		$449.41	$449.41	$449.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $453.90 / $570.75	Professional		$449.41	$453.90	$570.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $449.41 / $449.41	Facility		$449.41	$449.41	$449.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $449.41	Professional		$449.41	$449.41	$449.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $482.72 / $786.83 / $786.83	Professional		$482.72	$786.83	$786.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $449.41 / $494.35	Facility		$449.41	$449.41	$494.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $767.00	Professional		$449.41	$449.41	$767.00
United Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $449.41	Professional		$449.41	$449.41	$449.41