Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.33 / $52.33 / $105.58	Facility		$52.33	$52.33	$105.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $84.46 / $420.31	Professional		$52.33	$84.46	$420.31
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 $93.15 / $117.45 / $157.97	Professional		$93.15	$117.45	$157.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $32.34 / $104.25	Professional		$10.92	$32.34	$104.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.84 / $103.91 / $141.75	Facility		$78.84	$103.91	$141.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.19 / $120.65 / $157.97	Professional		$85.19	$120.65	$157.97
United Facility/Professional Facility Modifier Low / Median / High Price $884.18 / $884.18 / $884.18	Facility		$884.18	$884.18	$884.18
United Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $73.58 / $143.55	Professional		$72.95	$73.58	$143.55