Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.22 / $203.22 / $203.22	Facility		$203.22	$203.22	$203.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.22 / $312.08 / $1,367.28	Professional		$203.22	$312.08	$1,367.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.89 / $243.89 / $243.89	Facility		$243.89	$243.89	$243.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.04 / $178.04 / $463.49	Professional		$178.04	$178.04	$463.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $331.55 / $414.44 / $621.66	Professional		$331.55	$414.44	$621.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $114.47 / $311.45	Facility		$114.47	$114.47	$311.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.04 / $243.89 / $457.90	Professional		$178.04	$243.89	$457.90
United Facility/Professional Professional Modifier Low / Median / High Price $161.00 / $177.31 / $267.08	Professional		$161.00	$177.31	$267.08