Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $180.00 / $360.00	Facility		$90.00	$180.00	$360.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $144.00 / $771.60	Professional		$90.00	$144.00	$771.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Facility		$78.00	$78.00	$78.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.59 / $107.59 / $136.40	Professional		$107.59	$107.59	$136.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $186.00 / $195.60 / $195.60	Professional		$186.00	$195.60	$195.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $120.00 / $151.19	Facility		$78.00	$120.00	$151.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $145.19 / $166.80	Professional		$126.60	$145.19	$166.80
United Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $50.40 / $72.00	Professional		$50.40	$50.40	$72.00