Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.07 / $32.07 / $56.71	Facility		$32.07	$32.07	$56.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.49 / $50.55 / $93.82	Professional		$30.49	$50.55	$93.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $57.86 / $97.01	Professional		$38.25	$57.86	$97.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $32.34 / $80.68	Professional		$16.13	$32.34	$80.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $56.37 / $316.82	Facility		$34.22	$56.37	$316.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $62.31 / $108.63	Professional		$39.90	$62.31	$108.63
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 $47.12 / $74.97 / $123.94	Professional		$47.12	$74.97	$123.94