Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.71 / $5,000.27 / $7,838.38	Facility		$130.71	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.96 / $135.79 / $479.00	Professional		$107.96	$135.79	$479.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.75 / $179.41 / $232.44	Professional		$115.75	$179.41	$232.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $239.06	Professional		$32.34	$32.34	$239.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.72 / $157.49 / $199.53	Facility		$123.72	$157.49	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.11 / $185.20 / $317.89	Professional		$133.11	$185.20	$317.89
United Facility/Professional Facility Modifier Low / Median / High Price $559.00 / $3,503.00 / $5,060.00	Facility		$559.00	$3,503.00	$5,060.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.79 / $184.24 / $287.08	Professional		$130.79	$184.24	$287.08