Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.43 / $139.43 / $139.43	Facility		$139.43	$139.43	$139.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.28 / $143.77 / $163.18	Professional		$121.28	$143.77	$163.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $141.15	Professional		$141.06	$141.06	$141.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $245.54	Professional		$32.34	$32.34	$245.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.04 / $143.77 / $198.42	Facility		$128.04	$143.77	$198.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $157.82	Professional		$141.06	$141.06	$157.82
United Facility/Professional Professional Modifier Low / Median / High Price $209.94 / $267.27 / $362.43	Professional		$209.94	$267.27	$362.43