Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $103.12 / $156.54	Professional		$100.00	$103.12	$156.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.05 / $129.61 / $191.54	Professional		$116.05	$129.61	$191.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $85.00 / $171.41	Professional		$70.00	$85.00	$171.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.61 / $91.61 / $135.22	Facility		$91.61	$91.61	$135.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $118.25 / $131.47 / $191.54	Professional		$118.25	$131.47	$191.54
United Facility/Professional Facility Modifier Low / Median / High Price $8,306.00 / $8,306.00 / $8,306.00	Facility		$8,306.00	$8,306.00	$8,306.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.64 / $170.04 / $222.38	Professional		$102.64	$170.04	$222.38