Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.63 / $7,838.38 / $7,838.38	Facility		$143.63	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.82 / $131.83 / $239.30	Professional		$126.82	$131.83	$239.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.02 / $214.82 / $261.45	Professional		$138.02	$214.82	$261.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $206.85	Professional		$32.34	$32.34	$206.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $249.50 / $249.91 / $358.26	Facility		$249.50	$249.91	$358.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.32 / $194.84 / $261.45	Professional		$161.32	$194.84	$261.45
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 $180.84 / $221.56 / $312.05	Professional		$180.84	$221.56	$312.05