Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $162.18 / $7,762.47	Facility		$120.23	$162.18	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $208.93	Professional		$77.62	$97.72	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $162.18	Professional		$93.33	$120.23	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.11 / $151.36	Professional		$27.54	$33.11	$151.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $112.20 / $147.91	Facility		$75.86	$112.20	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $162.18	Professional		$93.33	$125.89	$162.18
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 $97.72 / $131.83 / $169.82	Professional		$97.72	$131.83	$169.82