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 $105.82 / $111.42 / $172.66	Professional		$105.82	$111.42	$172.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.57 / $110.57 / $110.57	Facility		$110.57	$110.57	$110.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.55 / $147.86 / $196.92	Professional		$111.55	$147.86	$196.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $149.19	Professional		$32.34	$32.34	$149.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.53 / $110.44 / $172.88	Facility		$91.53	$110.44	$172.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.24 / $164.44 / $256.97	Professional		$112.24	$164.44	$256.97
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,084.00 / $1,401.00	Facility		$200.00	$1,084.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.18 / $154.51 / $213.21	Professional		$105.18	$154.51	$213.21