Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $2,187.76	Professional		$234.42	$316.23	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $354.81	Professional		$309.03	$309.03	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $87.10 / $741.31	Professional		$50.12	$87.10	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $245.47 / $389.05	Facility		$138.04	$245.47	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $309.03 / $354.81	Professional		$134.90	$309.03	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $194.98 / $338.84	Facility		$19.50	$194.98	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $316.23	Professional		$181.97	$213.80	$316.23