Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.88 / $217.88 / $217.88	Facility		$217.88	$217.88	$217.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.88 / $334.61 / $1,545.30	Professional		$217.88	$334.61	$1,545.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.00 / $251.00 / $251.00	Facility		$251.00	$251.00	$251.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.23 / $251.00 / $251.00	Professional		$183.23	$251.00	$251.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $355.47 / $444.34 / $666.51	Professional		$355.47	$444.34	$666.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.38 / $129.38 / $333.92	Facility		$129.38	$129.38	$333.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.23 / $251.00 / $470.74	Professional		$183.23	$251.00	$470.74
United Facility/Professional Professional Modifier Low / Median / High Price $181.96 / $200.40 / $301.87	Professional		$181.96	$200.40	$301.87