Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $50.00 / $756.10	Professional		$35.00	$50.00	$756.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.00 / $567.00 / $702.00	Professional		$495.00	$567.00	$702.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $165.87 / $630.00 / $1,500.00	Professional		$165.87	$630.00	$1,500.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $495.00 / $700.00 / $810.00	Professional		$495.00	$700.00	$810.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $58.00 / $84.00	Professional		$45.00	$58.00	$84.00