Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.80 / $2,095.00 / $7,838.38	Facility		$166.80	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.99 / $274.73 / $614.66	Professional		$153.99	$274.73	$614.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.45 / $294.72 / $486.84	Professional		$184.45	$294.72	$486.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $49.77 / $414.75	Professional		$32.34	$49.77	$414.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.93 / $231.74 / $347.72	Facility		$152.93	$231.74	$347.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.47 / $316.00 / $565.80	Professional		$192.47	$316.00	$565.80
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 $275.54 / $392.49 / $563.71	Professional		$275.54	$392.49	$563.71