Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $63.10 / $154.88	Facility		$61.66	$63.10	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $75.86 / $134.90	Professional		$38.90	$75.86	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $81.28 / $169.82	Professional		$47.86	$81.28	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $74.13	Professional		$32.36	$33.11	$74.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $81.28 / $147.91	Facility		$38.90	$81.28	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $87.10 / $158.49	Professional		$48.98	$87.10	$158.49
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 $52.48 / $85.11 / $141.25	Professional		$52.48	$85.11	$141.25