Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,145.78 / $7,838.38	Facility		$1,000.00	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.40 / $83.86 / $129.12	Professional		$79.40	$83.86	$129.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.04 / $142.01 / $177.87	Professional		$104.04	$142.01	$177.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $32.34 / $121.92	Professional		$22.60	$32.34	$121.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.74 / $150.12 / $191.06	Facility		$113.74	$150.12	$191.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.04 / $142.01 / $177.87	Professional		$104.04	$142.01	$177.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $4,262.00 / $17,636.00	Facility		$3,085.00	$4,262.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.75 / $140.80 / $183.86	Professional		$105.75	$140.80	$183.86