Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $55.28 / $55.28	Facility		$55.28	$55.28	$55.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.28 / $84.90 / $452.77	Professional		$55.28	$84.90	$452.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.68 / $76.68 / $76.68	Facility		$76.68	$76.68	$76.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $76.68 / $76.68	Professional		$55.98	$76.68	$76.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.24 / $106.56 / $159.84	Professional		$85.24	$106.56	$159.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.25 / $46.25 / $121.44	Facility		$46.25	$46.25	$121.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $76.68 / $126.41	Professional		$55.98	$76.68	$126.41
United Facility/Professional Facility Modifier Low / Median / High Price $55.21 / $71.01 / $71.65	Facility		$55.21	$71.01	$71.65
United Facility/Professional Professional Modifier Low / Median / High Price $64.69 / $71.65 / $107.93	Professional		$64.69	$71.65	$107.93