Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.94 / $289.88 / $579.75	Facility		$144.94	$289.88	$579.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.94 / $231.90 / $231.90	Professional		$144.94	$231.90	$231.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $125.61 / $125.61	Facility		$125.61	$125.61	$125.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.02 / $240.64 / $330.95	Professional		$173.02	$240.64	$330.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $299.54 / $315.00 / $315.00	Professional		$299.54	$315.00	$315.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $193.25 / $243.50	Facility		$125.61	$193.25	$243.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.88 / $233.83 / $285.20	Professional		$203.88	$233.83	$285.20
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $81.17 / $115.95	Professional		$81.17	$81.17	$115.95