Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.34 / $502.04 / $502.04	Professional		$405.34	$502.04	$502.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.12 / $232.12 / $232.12	Facility		$232.12	$232.12	$232.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.95 / $232.12 / $232.12	Professional		$59.95	$232.12	$232.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $121.12 / $750.84	Professional		$64.59	$121.12	$750.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $232.12 / $405.34 / $673.02	Facility		$232.12	$405.34	$673.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.95 / $232.12 / $232.12	Professional		$59.95	$232.12	$232.12
United Facility/Professional Professional Modifier Low / Median / High Price $269.39 / $354.87 / $454.08	Professional		$269.39	$354.87	$454.08