Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $147.91	Professional		$66.07	$89.13	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $275.42	Professional		$97.72	$97.72	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $229.09	Professional		$123.03	$151.36	$229.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $114.82 / $204.17	Facility		$48.98	$114.82	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $181.97	Professional		$97.72	$97.72	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $83.18 / $204.17	Facility		$58.88	$83.18	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $75.86 / $114.82	Professional		$69.18	$75.86	$114.82