Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,137.96 / $7,762.47	Facility		$1,047.13	$2,137.96	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $95.50 / $208.93	Professional		$61.66	$95.50	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $138.04	Professional		$114.82	$114.82	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $173.78	Professional		$50.12	$60.26	$173.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $107.15 / $363.08	Facility		$74.13	$107.15	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $186.21	Professional		$100.00	$120.23	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,096.48 / $1,412.54	Facility		$229.09	$1,096.48	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $177.83	Professional		$95.50	$128.82	$177.83