Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $1,047.13 / $7,762.47	Facility		$112.20	$1,047.13	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $218.78	Professional		$79.43	$95.50	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $177.83	Professional		$95.50	$141.25	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $112.20	Professional		$32.36	$33.11	$112.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $144.54 / $229.09	Facility		$109.65	$144.54	$229.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $177.83	Professional		$91.20	$134.90	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,128.61 / $19,498.45	Facility		$3,090.30	$5,128.61	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $181.97	Professional		$102.33	$131.83	$181.97