Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.05 / $51.05 / $102.90	Facility		$51.05	$51.05	$102.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.05 / $82.32 / $410.21	Professional		$51.05	$82.32	$410.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.57 / $143.57 / $143.57	Facility		$143.57	$143.57	$143.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.41 / $110.59 / $152.38	Professional		$74.41	$110.59	$152.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $32.34 / $101.68	Professional		$8.96	$32.34	$101.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.09 / $72.59 / $90.70	Facility		$48.09	$72.59	$90.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $117.60 / $152.38	Professional		$65.11	$117.60	$152.38
United Facility/Professional Professional Modifier Low / Median / High Price $58.62 / $70.47 / $140.05	Professional		$58.62	$70.47	$140.05