Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $158.49 / $891.25	Professional		$87.10	$158.49	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $229.09 / $331.13	Professional		$91.20	$229.09	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $257.04 / $446.68	Facility		$158.49	$257.04	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $354.81	Professional		$165.96	$275.42	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $263.03	Professional		$83.18	$128.82	$263.03