Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,838.38 / $8,763.29	Facility		$1,000.00	$7,838.38	$8,763.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.53 / $145.28 / $246.16	Professional		$129.53	$145.28	$246.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.29 / $231.48 / $289.12	Professional		$138.29	$231.48	$289.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $39.43 / $212.63	Professional		$32.34	$39.43	$212.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.29 / $223.16 / $228.31	Facility		$162.29	$223.16	$228.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.95 / $200.46 / $289.12	Professional		$165.95	$200.46	$289.12
United Facility/Professional Facility Modifier Low / Median / High Price $9,028.00 / $15,131.00 / $16,269.00	Facility		$9,028.00	$15,131.00	$16,269.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.23 / $225.50 / $317.52	Professional		$171.23	$225.50	$317.52