Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $79.43	Professional		$38.02	$52.48	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $144.54	Facility		$64.57	$64.57	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $64.57	Professional		$54.95	$54.95	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $112.20 / $208.93	Professional		$97.72	$112.20	$208.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $74.13 / $117.49	Facility		$44.67	$74.13	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $91.20	Professional		$54.95	$54.95	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $58.88 / $85.11	Facility		$48.98	$58.88	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $54.95 / $93.33	Professional		$41.69	$54.95	$93.33