Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.16 / $5,000.27 / $7,838.38	Facility		$265.16	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.34 / $203.38 / $408.81	Professional		$102.34	$203.38	$408.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $226.52 / $378.58	Professional		$129.41	$226.52	$378.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.30 / $349.57	Professional		$32.34	$65.30	$349.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.52 / $179.02 / $261.49	Facility		$128.52	$179.02	$261.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.07 / $226.52 / $378.58	Professional		$136.07	$226.52	$378.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,824.00 / $2,516.00 / $2,655.00	Facility		$1,824.00	$2,516.00	$2,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.87 / $307.06 / $496.14	Professional		$218.87	$307.06	$496.14