Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.79 / $2,145.78 / $7,838.38	Facility		$193.79	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.66 / $157.40 / $250.65	Professional		$104.66	$157.40	$250.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.27 / $135.27 / $183.19	Facility		$135.27	$135.27	$183.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $190.34 / $303.82	Professional		$126.58	$190.34	$303.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $49.12 / $262.70	Professional		$32.34	$49.12	$262.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $161.16 / $215.16	Facility		$107.42	$161.16	$215.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.94 / $221.51 / $380.99	Professional		$131.94	$221.51	$380.99
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,158.00 / $1,327.00	Facility		$200.00	$1,158.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.54 / $248.93 / $370.85	Professional		$168.54	$248.93	$370.85