Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.84 / $83.84 / $83.84	Facility		$83.84	$83.84	$83.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.16 / $79.01 / $129.10	Professional		$67.16	$79.01	$129.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.80 / $124.96 / $151.90	Professional		$95.80	$124.96	$151.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $122.35 / $397.32	Professional		$85.00	$122.35	$397.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.80 / $103.56 / $128.21	Facility		$67.80	$103.56	$128.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.71 / $124.96 / $151.90	Professional		$93.71	$124.96	$151.90
United Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,327.00 / $1,327.00	Facility		$775.00	$1,327.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.34 / $132.83 / $182.48	Professional		$102.34	$132.83	$182.48