Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $338.84 / $7,762.47	Facility		$165.96	$338.84	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $234.42 / $537.03	Professional		$134.90	$234.42	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $389.05	Professional		$162.18	$234.42	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $302.00	Professional		$32.36	$33.11	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $239.88 / $457.09	Facility		$138.04	$239.88	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $389.05	Professional		$162.18	$234.42	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $4,365.16 / $16,218.10	Facility		$562.34	$4,365.16	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $239.88 / $371.54	Professional		$144.54	$239.88	$371.54