Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.79 / $2,095.00 / $7,838.38	Facility		$98.79	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.79 / $139.11 / $546.51	Professional		$98.79	$139.11	$546.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.42 / $153.61 / $232.12	Professional		$100.42	$153.61	$232.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $222.89	Professional		$32.34	$32.34	$222.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.60 / $146.28 / $220.50	Facility		$99.60	$146.28	$220.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.48 / $175.31 / $260.83	Professional		$108.48	$175.31	$260.83
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 $149.15 / $207.35 / $268.45	Professional		$149.15	$207.35	$268.45