Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $288.00 / $576.00	Facility		$144.00	$288.00	$576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $230.40 / $1,234.56	Professional		$144.00	$230.40	$1,234.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.80 / $124.80 / $124.80	Facility		$124.80	$124.80	$124.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.47 / $104.02 / $172.09	Professional		$82.47	$104.02	$172.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $297.60 / $312.95 / $312.95	Professional		$297.60	$312.95	$312.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.67 / $124.80 / $241.92	Facility		$83.67	$124.80	$241.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.21 / $220.80 / $266.88	Professional		$86.21	$220.80	$266.88
United Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $35.14 / $115.20	Professional		$35.14	$35.14	$115.20