Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $891.25 / $912.01	Facility		$416.87	$891.25	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $1,819.70	Professional		$190.55	$257.04	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $309.03 / $389.05	Professional		$245.47	$309.03	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $588.84	Professional		$426.58	$426.58	$588.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $354.81 / $812.83	Facility		$186.21	$354.81	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $398.11	Professional		$194.98	$309.03	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $165.96	Professional		$114.82	$114.82	$165.96