Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $245.47 / $7,762.47	Facility		$239.88	$245.47	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $776.25	Professional		$158.49	$190.55	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $309.03	Professional		$199.53	$269.15	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $234.42	Professional		$32.36	$33.11	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $263.03 / $616.60	Facility		$186.21	$263.03	$616.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $309.03	Professional		$190.55	$251.19	$309.03
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 $186.21 / $257.04 / $331.13	Professional		$186.21	$257.04	$331.13