Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.06 / $43.06 / $92.21	Facility		$43.06	$43.06	$92.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.06 / $73.77 / $73.77	Professional		$43.06	$73.77	$73.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.20 / $43.20 / $43.20	Facility		$43.20	$43.20	$43.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.91 / $145.10 / $208.58	Professional		$51.91	$145.10	$208.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $58.22 / $165.56	Professional		$32.34	$58.22	$165.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.23 / $191.49 / $298.33	Facility		$47.23	$191.49	$298.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $131.37 / $193.58	Professional		$68.84	$131.37	$193.58
United Facility/Professional Professional Modifier Low / Median / High Price $62.07 / $128.77 / $193.42	Professional		$62.07	$128.77	$193.42