Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.92 / $79.92 / $79.92	Facility		$79.92	$79.92	$79.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.92 / $99.06 / $125.06	Professional		$79.92	$99.06	$125.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $92.55 / $93.83	Professional		$92.55	$92.55	$93.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $159.56	Professional		$32.34	$32.34	$159.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.92 / $91.33 / $128.81	Facility		$79.92	$91.33	$128.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $92.55 / $101.41	Professional		$92.55	$92.55	$101.41
United Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $155.55 / $214.64	Professional		$124.57	$155.55	$214.64