Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $15.26 / $15.49	Facility		$15.26	$15.26	$15.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.26 / $15.49 / $24.23	Professional		$15.26	$15.49	$24.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.98 / $16.32 / $719.77	Professional		$12.98	$16.32	$719.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $1,500.00	Professional		$50.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.91 / $15.37 / $24.23	Facility		$12.91	$15.37	$24.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.98 / $16.32 / $70.50	Professional		$12.98	$16.32	$70.50
United Facility/Professional Professional Modifier Low / Median / High Price $14.01 / $14.82 / $36.34	Professional		$14.01	$14.82	$36.34