Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.75 / $133.75 / $267.73	Facility		$133.75	$133.75	$267.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.75 / $214.18 / $1,281.98	Professional		$133.75	$214.18	$1,281.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $348.99 / $348.99 / $348.99	Facility		$348.99	$348.99	$348.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.86 / $293.24 / $399.94	Professional		$216.86	$293.24	$399.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $45.90 / $246.57	Professional		$32.34	$45.90	$246.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.70 / $226.28 / $303.75	Facility		$165.70	$226.28	$303.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.82 / $305.97 / $399.94	Professional		$184.82	$305.97	$399.94
United Facility/Professional Professional Modifier Low / Median / High Price $170.71 / $189.42 / $436.33	Professional		$170.71	$189.42	$436.33