Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $204.17 / $7,762.47	Facility		$158.49	$204.17	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $117.49 / $263.03	Professional		$93.33	$117.49	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $208.93	Professional		$123.03	$162.18	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $34.67 / $186.21	Professional		$32.36	$34.67	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $154.88 / $190.55	Facility		$100.00	$154.88	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $208.93	Professional		$123.03	$165.96	$208.93
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 $128.82 / $173.78 / $213.80	Professional		$128.82	$173.78	$213.80