Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $47.86 / $977.24	Professional		$34.67	$47.86	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $436.52 / $562.34	Professional		$354.81	$436.52	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $436.52 / $562.34	Professional		$128.82	$436.52	$562.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $177.83 / $4,073.80	Facility		$30.20	$177.83	$4,073.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $524.81 / $660.69	Professional		$389.05	$524.81	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $87.10	Professional		$42.66	$57.54	$87.10