Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.23 / $59.23 / $59.23	Facility		$59.23	$59.23	$59.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.51 / $63.83 / $71.98	Professional		$56.51	$63.83	$71.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $66.06 / $67.12	Professional		$66.06	$66.06	$67.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $113.74	Professional		$32.34	$32.34	$113.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.23 / $63.83 / $85.82	Facility		$59.23	$63.83	$85.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $66.06 / $67.38	Professional		$66.06	$66.06	$67.38
United Facility/Professional Professional Modifier Low / Median / High Price $93.30 / $110.66 / $154.13	Professional		$93.30	$110.66	$154.13