Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $218.78 / $7,762.47	Facility		$75.86	$218.78	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $123.03 / $263.03	Professional		$48.98	$123.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $147.91 / $281.84	Professional		$70.79	$147.91	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $147.91	Professional		$32.36	$33.11	$147.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $138.04 / $302.00	Facility		$52.48	$138.04	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $147.91 / $281.84	Professional		$70.79	$147.91	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,096.48 / $1,412.54	Facility		$229.09	$1,096.48	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $154.88 / $316.23	Professional		$81.28	$154.88	$316.23