Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $229.09 / $7,762.47	Facility		$83.18	$229.09	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $138.04 / $239.88	Professional		$57.54	$138.04	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $120.23 / $251.19	Professional		$66.07	$120.23	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $190.55	Professional		$32.36	$33.11	$190.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $154.88 / $331.13	Facility		$67.61	$154.88	$331.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $147.91 / $309.03	Professional		$70.79	$147.91	$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 $75.86 / $158.49 / $269.15	Professional		$75.86	$158.49	$269.15