Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $212.00 / $212.00	Facility		$212.00	$212.00	$212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.81 / $198.21 / $212.00	Professional		$192.81	$198.21	$212.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Facility		$203.81	$203.81	$203.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Professional		$203.81	$203.81	$203.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $176.32 / $176.32 / $176.32	Professional		$176.32	$176.32	$176.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.48 / $145.75 / $203.81	Facility		$114.48	$145.75	$203.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Professional		$203.81	$203.81	$203.81
United Facility/Professional Professional Modifier Low / Median / High Price $205.63 / $218.36 / $218.36	Professional		$205.63	$218.36	$218.36