Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $467.74 / $467.74	Facility		$213.80	$467.74	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $114.82 / $169.82	Professional		$100.00	$114.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $309.03	Professional		$141.25	$141.25	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $177.83 / $416.87	Facility		$95.50	$177.83	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $158.49 / $204.17	Professional		$151.36	$158.49	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $85.11	Professional		$60.26	$60.26	$85.11