Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,137.96 / $7,762.47	Facility		$1,047.13	$2,137.96	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $295.12	Professional		$120.23	$186.21	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $269.15	Professional		$223.87	$223.87	$269.15
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 $131.83 / $208.93 / $478.63	Facility		$131.83	$208.93	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $363.08	Professional		$169.82	$204.17	$363.08
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 $186.21 / $245.47 / $354.81	Professional		$186.21	$245.47	$354.81