Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.08 / $2,095.00 / $7,838.38	Facility		$70.08	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.08 / $104.12 / $387.25	Professional		$70.08	$104.12	$387.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.26 / $114.27 / $173.21	Professional		$76.26	$114.27	$173.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $92.44 / $166.68	Professional		$18.48	$92.44	$166.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.54 / $108.04 / $166.74	Facility		$70.54	$108.04	$166.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $131.41 / $194.77	Professional		$78.68	$131.41	$194.77
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 $107.34 / $156.58 / $199.56	Professional		$107.34	$156.58	$199.56