Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $389.05 / $407.38	Facility		$181.97	$389.05	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $812.83	Professional		$85.11	$114.82	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $213.80	Professional		$109.65	$154.88	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $263.03	Professional		$60.26	$60.26	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $190.55 / $363.08	Facility		$81.28	$190.55	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $213.80	Professional		$107.15	$162.18	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $63.10 / $74.13	Professional		$51.29	$63.10	$74.13