Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.14 / $1,026.48 / $1,026.48	Facility		$99.14	$1,026.48	$1,026.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.14 / $181.59 / $274.56	Professional		$99.14	$181.59	$274.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.72 / $192.72 / $192.72	Facility		$192.72	$192.72	$192.72
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 $143.43 / $164.01 / $274.56	Facility		$143.43	$164.01	$274.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $913.50 / $913.50 / $913.50	Professional		$913.50	$913.50	$913.50
United Facility/Professional Professional Modifier Low / Median / High Price $186.70 / $196.16 / $462.84	Professional		$186.70	$196.16	$462.84