Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.97 / $146.97 / $146.97	Facility		$146.97	$146.97	$146.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.38 / $200.62 / $854.28	Professional		$133.38	$200.62	$854.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.76 / $138.76 / $138.76	Facility		$138.76	$138.76	$138.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $138.76 / $138.76	Professional		$101.29	$138.76	$138.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.12 / $266.41 / $399.61	Professional		$213.12	$266.41	$399.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $71.52 / $200.21	Facility		$71.52	$71.52	$200.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $138.76 / $312.20	Professional		$101.29	$138.76	$312.20
United Facility/Professional Facility Modifier Low / Median / High Price $251.68 / $251.68 / $296.08	Facility		$251.68	$251.68	$296.08
United Facility/Professional Professional Modifier Low / Median / High Price $102.43 / $110.79 / $169.54	Professional		$102.43	$110.79	$169.54