Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $69.18 / $104.71	Professional		$48.98	$69.18	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $208.93	Professional		$67.61	$67.61	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $190.55	Professional		$102.33	$128.82	$190.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $95.50 / $151.36	Facility		$37.15	$95.50	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $144.54	Professional		$67.61	$67.61	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $63.10 / $154.88	Facility		$44.67	$63.10	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $57.54 / $87.10	Professional		$52.48	$57.54	$87.10