Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $173.78 / $7,762.47	Facility		$104.71	$173.78	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $89.13 / $177.83	Professional		$61.66	$89.13	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $109.65 / $275.42	Professional		$67.61	$109.65	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $102.33 / $169.82	Facility		$64.57	$102.33	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $190.55	Professional		$74.13	$109.65	$190.55
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 $72.44 / $109.65 / $169.82	Professional		$72.44	$109.65	$169.82