Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.06 / $2,145.78 / $7,838.38	Facility		$88.06	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $91.09 / $149.50	Professional		$88.06	$91.09	$149.50
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 $48.60 / $95.07 / $209.80	Facility		$48.60	$95.07	$209.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $109.80 / $187.58	Professional		$51.49	$109.80	$187.58
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 $97.91 / $128.96 / $201.52	Professional		$97.91	$128.96	$201.52