Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.20 / $623.20 / $623.20	Facility		$623.20	$623.20	$623.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.74 / $139.79 / $159.97	Professional		$134.74	$139.79	$159.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.05 / $178.72 / $254.04	Professional		$147.05	$178.72	$254.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.56 / $180.56 / $189.88	Professional		$180.56	$180.56	$189.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.77 / $181.21 / $246.65	Facility		$162.77	$181.21	$246.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.96 / $154.35 / $233.11	Professional		$133.96	$154.35	$233.11
United Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $97.18 / $221.33	Professional		$69.89	$97.18	$221.33