Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.04 / $437.44 / $437.44	Professional		$348.04	$437.44	$437.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Professional		$200.00	$200.00	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $119.14 / $1,758.10	Professional		$79.43	$119.14	$1,758.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.01 / $367.74 / $577.88	Facility		$281.01	$367.74	$577.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Professional		$200.00	$200.00	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $371.98 / $430.26 / $658.22	Professional		$371.98	$430.26	$658.22