Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.08 / $2,145.78 / $7,838.38	Facility		$89.08	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.61 / $92.09 / $140.79	Professional		$85.61	$92.09	$140.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.05 / $120.05 / $143.83	Professional		$120.05	$120.05	$143.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $152.41	Professional		$60.00	$85.00	$152.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.25 / $92.16 / $140.79	Facility		$48.25	$92.16	$140.79
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.01 / $135.72 / $206.19	Professional		$107.01	$135.72	$206.19