Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $501.19 / $7,762.47	Facility		$251.19	$501.19	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $457.09	Professional		$151.36	$257.04	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $295.12 / $660.69	Professional		$181.97	$295.12	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $251.19	Professional		$32.36	$33.11	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $281.84 / $501.19	Facility		$158.49	$281.84	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $309.03 / $562.34	Professional		$186.21	$309.03	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,096.48 / $1,412.54	Facility		$229.09	$1,096.48	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $295.12 / $467.74	Professional		$186.21	$295.12	$467.74