Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.55 / $263.10 / $526.20	Facility		$131.55	$263.10	$526.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.55 / $210.48 / $210.48	Professional		$131.55	$210.48	$210.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.01 / $114.01 / $114.01	Facility		$114.01	$114.01	$114.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.21 / $218.49 / $300.48	Professional		$157.21	$218.49	$300.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $271.87 / $285.89 / $285.89	Professional		$271.87	$285.89	$285.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.01 / $175.40 / $221.00	Facility		$114.01	$175.40	$221.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $185.05 / $212.23 / $258.95	Professional		$185.05	$212.23	$258.95
United Facility/Professional Facility Modifier Low / Median / High Price $105.24 / $157.86 / $263.10	Facility		$105.24	$157.86	$263.10
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $73.67 / $105.24	Professional		$73.67	$73.67	$105.24