Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.91 / $2,095.00 / $7,838.38	Facility		$107.91	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.91 / $153.18 / $593.82	Professional		$107.91	$153.18	$593.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.02 / $178.83 / $255.78	Professional		$117.02	$178.83	$255.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $246.85	Professional		$32.34	$32.34	$246.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.15 / $174.66 / $243.55	Facility		$115.15	$174.66	$243.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.41 / $201.43 / $295.14	Professional		$124.41	$201.43	$295.14
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $2,516.00 / $2,877.00	Facility		$418.00	$2,516.00	$2,877.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.24 / $245.17 / $295.11	Professional		$180.24	$245.17	$295.11