Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $707.95	Professional		$309.03	$389.05	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $407.38 / $407.38	Professional		$46.77	$407.38	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $85.11 / $660.69	Professional		$36.31	$85.11	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $323.59 / $512.86	Facility		$40.74	$323.59	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $346.74 / $407.38	Professional		$46.77	$346.74	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $218.78 / $446.68	Facility		$25.70	$218.78	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $363.08	Professional		$223.87	$281.84	$363.08