Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,762.47 / $7,762.47	Facility		$1,000.00	$7,762.47	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $302.00	Professional		$134.90	$199.53	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $295.12	Professional		$245.47	$245.47	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $489.78	Professional		$50.12	$60.26	$489.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $223.87 / $346.74	Facility		$154.88	$223.87	$346.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $407.38	Professional		$199.53	$239.88	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,511.89 / $3,890.45	Facility		$416.87	$2,511.89	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $398.11	Professional		$208.93	$275.42	$398.11