Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.75 / $97.45 / $437.50	Professional		$72.75	$97.45	$437.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $100.30 / $100.30	Facility		$100.30	$100.30	$100.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.30 / $100.30 / $114.85	Professional		$100.30	$100.30	$114.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $22.50 / $177.01	Professional		$12.00	$22.50	$177.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.10 / $85.13 / $122.16	Facility		$58.10	$85.13	$122.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.30 / $100.30 / $114.85	Professional		$100.30	$100.30	$114.85
United Facility/Professional Professional Modifier Low / Median / High Price $75.65 / $83.86 / $135.55	Professional		$75.65	$83.86	$135.55