Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $446.68 / $7,762.47	Facility		$213.80	$446.68	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $234.42 / $407.38	Professional		$128.82	$234.42	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $575.44	Professional		$151.36	$251.19	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $223.87	Professional		$32.36	$33.11	$223.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $239.88 / $446.68	Facility		$134.90	$239.88	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $275.42 / $501.19	Professional		$158.49	$275.42	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,148.15 / $1,412.54	Facility		$229.09	$1,148.15	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $426.58	Professional		$162.18	$257.04	$426.58