Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.63 / $2,145.78 / $7,838.38	Facility		$351.63	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.82 / $351.63 / $726.75	Professional		$260.82	$351.63	$726.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.58 / $394.54 / $585.49	Professional		$266.58	$394.54	$585.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $59.48 / $495.67	Professional		$32.34	$59.48	$495.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $265.04 / $320.97 / $390.17	Facility		$265.04	$320.97	$390.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $426.52 / $776.54	Professional		$282.88	$426.52	$776.54
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 $292.56 / $461.00 / $674.19	Professional		$292.56	$461.00	$674.19