Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $83.18 / $138.04	Professional		$48.98	$83.18	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $288.40	Professional		$46.77	$46.77	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $60.26 / $1,000.00	Professional		$32.36	$60.26	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $93.33 / $147.91	Facility		$51.29	$93.33	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $5,011.87 / $19,498.45	Facility		$162.18	$5,011.87	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $83.18 / $151.36	Professional		$74.13	$83.18	$151.36