Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.91 / $130.91 / $261.74	Facility		$130.91	$130.91	$261.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.91 / $209.39 / $1,091.56	Professional		$130.91	$209.39	$1,091.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $352.87 / $352.87 / $352.87	Facility		$352.87	$352.87	$352.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.16 / $236.33 / $335.36	Professional		$159.16	$236.33	$335.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $32.88 / $191.88	Professional		$25.21	$32.88	$191.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.95 / $161.10 / $204.75	Facility		$111.95	$161.10	$204.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.59 / $261.64 / $335.36	Professional		$131.59	$261.64	$335.36
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 $125.30 / $136.12 / $370.87	Professional		$125.30	$136.12	$370.87