Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.47 / $310.95 / $621.92	Facility		$155.47	$310.95	$621.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $248.77 / $1,333.00	Professional		$155.47	$248.77	$1,333.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.75 / $134.75 / $134.75	Facility		$134.75	$134.75	$134.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.73 / $185.73 / $261.33	Professional		$185.73	$185.73	$261.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $321.33 / $337.92 / $337.92	Professional		$321.33	$337.92	$337.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.75 / $134.75 / $322.48	Facility		$134.75	$134.75	$322.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $238.41 / $262.25 / $298.52	Professional		$238.41	$262.25	$298.52
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $181.18 / $181.18	Professional		$87.07	$181.18	$181.18