Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.66 / $47.66 / $47.66	Facility		$47.66	$47.66	$47.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.66 / $63.85 / $287.63	Professional		$47.66	$63.85	$287.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $82.96 / $125.61	Professional		$43.91	$82.96	$125.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.16 / $102.70 / $154.05	Professional		$82.16	$102.70	$154.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.94 / $30.94 / $77.19	Facility		$30.94	$30.94	$77.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $82.96 / $121.39	Professional		$43.91	$82.96	$121.39
United Facility/Professional Professional Modifier Low / Median / High Price $42.20 / $45.64 / $68.75	Professional		$42.20	$45.64	$68.75