Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.40 / $92.88 / $94.99	Professional		$46.40	$92.88	$94.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.99 / $63.99 / $63.99	Facility		$63.99	$63.99	$63.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $27.62 / $268.18	Professional		$21.97	$27.62	$268.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $97.00	Professional		$60.00	$60.00	$97.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.40 / $58.41 / $94.99	Facility		$46.40	$58.41	$94.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.56 / $268.18 / $268.18	Professional		$129.56	$268.18	$268.18
United Facility/Professional Professional Modifier Low / Median / High Price $94.94 / $145.36 / $205.19	Professional		$94.94	$145.36	$205.19