Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,000.00 / $1,000.00	Facility		$457.09	$1,000.00	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $363.08	Professional		$208.93	$281.84	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $645.65	Professional		$467.74	$467.74	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $380.19 / $891.25	Facility		$204.17	$380.19	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $331.13 / $331.13	Professional		$316.23	$331.13	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $181.97	Professional		$125.89	$125.89	$181.97