Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $84.64 / $121.28	Professional		$66.00	$84.64	$121.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.86 / $93.75 / $146.79	Professional		$60.86	$93.75	$146.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $63.55 / $120.32	Professional		$32.34	$63.55	$120.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.77 / $104.24 / $110.91	Facility		$81.77	$104.24	$110.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.99 / $93.75 / $148.51	Professional		$60.99	$93.75	$148.51
United Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $102.44 / $147.00	Professional		$70.73	$102.44	$147.00