Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.88 / $2,145.78 / $7,838.38	Facility		$172.88	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.88 / $178.84 / $292.82	Professional		$172.88	$178.84	$292.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.59 / $224.59 / $269.08	Professional		$224.59	$224.59	$269.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $267.89	Professional		$50.00	$85.00	$267.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.78 / $186.46 / $292.82	Facility		$93.78	$186.46	$292.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.80 / $186.50 / $360.91	Professional		$87.80	$186.50	$360.91
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $2,516.00 / $2,877.00	Facility		$418.00	$2,516.00	$2,877.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.67 / $254.44 / $392.76	Professional		$189.67	$254.44	$392.76