Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $338.84 / $478.63	Professional		$269.15	$338.84	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $338.84 / $338.84	Professional		$40.74	$338.84	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $83.18 / $645.65	Professional		$35.48	$83.18	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $309.03 / $446.68	Facility		$208.93	$309.03	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $288.40 / $338.84	Professional		$40.74	$288.40	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $162.18 / $316.23	Facility		$25.12	$162.18	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $218.78 / $416.87	Professional		$199.53	$218.78	$416.87