Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $462.00 / $924.00	Facility		$231.00	$462.00	$924.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $369.60 / $1,980.44	Professional		$231.00	$369.60	$1,980.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.20 / $200.20 / $200.20	Facility		$200.20	$200.20	$200.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.95 / $275.95 / $349.40	Professional		$275.95	$275.95	$349.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $477.40 / $502.04 / $502.04	Professional		$477.40	$502.04	$502.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.94 / $200.20 / $388.08	Facility		$93.94	$200.20	$388.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.95 / $372.68 / $428.12	Professional		$275.95	$372.68	$428.12
United Facility/Professional Professional Modifier Low / Median / High Price $67.72 / $67.72 / $184.80	Professional		$67.72	$67.72	$184.80