Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.02 / $177.02 / $948.55	Professional		$177.02	$177.02	$948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.97 / $226.08 / $321.61	Professional		$185.97	$226.08	$321.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $228.66 / $228.66 / $240.46	Professional		$228.66	$228.66	$240.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $206.12 / $229.47 / $312.32	Facility		$206.12	$229.47	$312.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.65 / $195.46 / $294.89	Professional		$169.65	$195.46	$294.89
United Facility/Professional Professional Modifier Low / Median / High Price $88.51 / $118.02 / $236.03	Professional		$88.51	$118.02	$236.03