Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $218.78 / $223.87	Facility		$102.33	$218.78	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $457.09	Professional		$44.67	$64.57	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $77.62	Professional		$61.66	$61.66	$77.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $147.91	Professional		$107.15	$107.15	$147.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $89.13 / $204.17	Facility		$45.71	$89.13	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $97.72	Professional		$61.66	$77.62	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $40.74	Professional		$25.12	$25.12	$40.74