Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.97 / $140.97 / $140.97	Facility		$140.97	$140.97	$140.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.97 / $170.09 / $212.00	Professional		$140.97	$170.09	$212.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $570.54 / $570.54 / $570.54	Facility		$570.54	$570.54	$570.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.54 / $570.54 / $570.54	Professional		$570.54	$570.54	$570.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $355.97 / $355.97 / $355.97	Professional		$355.97	$355.97	$355.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.98 / $309.82 / $570.54	Facility		$177.98	$309.82	$570.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $570.54 / $570.54 / $570.54	Professional		$570.54	$570.54	$570.54
United Facility/Professional Professional Modifier Low / Median / High Price $645.89 / $645.89 / $645.89	Professional		$645.89	$645.89	$645.89