Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.61 / $2,145.78 / $7,838.38	Facility		$152.61	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.35 / $186.42 / $770.11	Professional		$143.35	$186.42	$770.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.12 / $218.41 / $279.63	Professional		$129.12	$218.41	$279.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $140.62 / $253.02	Professional		$28.12	$140.62	$253.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.82 / $212.11 / $248.13	Facility		$117.82	$212.11	$248.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.96 / $249.80 / $313.64	Professional		$155.96	$249.80	$313.64
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 $184.21 / $250.16 / $301.61	Professional		$184.21	$250.16	$301.61