Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $316.23 / $7,762.47	Facility		$263.03	$316.23	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $186.21 / $323.59	Professional		$162.18	$186.21	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $741.31	Professional		$151.36	$263.03	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $169.82	Professional		$32.36	$33.11	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $245.47 / $371.54	Facility		$177.83	$245.47	$371.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $407.38	Professional		$177.83	$275.42	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,096.48 / $1,412.54	Facility		$229.09	$1,096.48	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $354.81	Professional		$194.98	$257.04	$354.81