Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.50 / $2,145.78 / $7,838.38	Facility		$86.50	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.50 / $89.37 / $143.84	Professional		$86.50	$89.37	$143.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.48 / $114.48 / $137.16	Professional		$114.48	$114.48	$137.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $138.62	Professional		$50.00	$85.00	$138.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.22 / $96.28 / $158.75	Facility		$49.22	$96.28	$158.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.42 / $107.54 / $185.16	Professional		$50.42	$107.54	$185.16
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.20 / $129.25 / $198.67	Professional		$98.20	$129.25	$198.67