Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $199.53 / $7,762.47	Facility		$194.98	$199.53	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $660.69	Professional		$131.83	$169.82	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $251.19	Professional		$162.18	$213.80	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $190.55	Professional		$32.36	$33.11	$190.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $251.19 / $501.19	Facility		$190.55	$251.19	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $251.19	Professional		$154.88	$199.53	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,128.61 / $19,498.45	Facility		$3,090.30	$5,128.61	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $281.84	Professional		$151.36	$208.93	$281.84