Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.95 / $69.90 / $139.80	Facility		$34.95	$69.90	$139.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $55.92 / $299.64	Professional		$34.95	$55.92	$299.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.29 / $30.29 / $30.29	Facility		$30.29	$30.29	$30.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.86 / $41.86 / $54.07	Professional		$41.86	$41.86	$54.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $75.95 / $75.95	Professional		$72.23	$75.95	$75.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.29 / $58.84 / $66.59	Facility		$30.29	$58.84	$66.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.59 / $58.95 / $64.77	Professional		$53.59	$58.95	$64.77
United Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $24.53 / $27.96	Professional		$19.57	$24.53	$27.96