Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $2,041.74 / $2,041.74	Facility		$316.23	$2,041.74	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $398.11	Professional		$263.03	$323.59	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $1,000.00	Professional		$50.12	$70.79	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $346.74 / $602.56	Facility		$263.03	$346.74	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,621.81 / $1,621.81	Facility		$741.31	$1,621.81	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $309.03 / $676.08	Professional		$281.84	$309.03	$676.08