Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $912.01 / $912.01	Facility		$416.87	$912.01	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $331.13	Professional		$181.97	$223.87	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $426.58 / $588.84	Professional		$371.54	$426.58	$588.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $331.13 / $812.83	Facility		$186.21	$331.13	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $302.00 / $398.11	Professional		$263.03	$302.00	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $147.91	Professional		$104.71	$104.71	$147.91