Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.95 / $2,145.78 / $7,838.38	Facility		$78.95	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $68.91 / $116.60	Professional		$37.39	$68.91	$116.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $73.39 / $128.80	Professional		$49.75	$73.39	$128.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.76 / $62.30 / $110.50	Professional		$20.76	$62.30	$110.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.77 / $74.30 / $97.81	Facility		$47.77	$74.30	$97.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.98 / $73.39 / $128.80	Professional		$47.98	$73.39	$128.80
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 $77.39 / $98.03 / $143.78	Professional		$77.39	$98.03	$143.78