Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.72 / $5,000.27 / $7,838.38	Facility		$249.72	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.09 / $200.89 / $339.79	Professional		$111.09	$200.89	$339.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.87 / $235.59 / $392.42	Professional		$160.87	$235.59	$392.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $181.24 / $322.01	Professional		$32.34	$181.24	$322.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.91 / $211.91 / $298.07	Facility		$130.91	$211.91	$298.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.05 / $235.59 / $392.42	Professional		$145.05	$235.59	$392.42
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $3,085.00 / $5,262.00	Facility		$3,085.00	$3,085.00	$5,262.00
United Facility/Professional Professional Modifier Low / Median / High Price $244.71 / $321.92 / $490.85	Professional		$244.71	$321.92	$490.85