Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.66 / $5,000.27 / $7,838.38	Facility		$216.66	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.94 / $200.55 / $277.51	Professional		$142.94	$200.55	$277.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.82 / $245.30 / $345.37	Professional		$160.82	$245.30	$345.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $36.66 / $308.25	Professional		$32.34	$36.66	$308.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.97 / $200.17 / $273.52	Facility		$152.97	$200.17	$273.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.67 / $255.88 / $439.35	Professional		$166.67	$255.88	$439.35
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 $190.41 / $282.73 / $406.07	Professional		$190.41	$282.73	$406.07