Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $141.25	Facility		$138.04	$138.04	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $251.19	Professional		$89.13	$107.15	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $190.55	Professional		$114.82	$151.36	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $158.49 / $251.19	Facility		$104.71	$158.49	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $190.55	Professional		$114.82	$151.36	$190.55
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 $104.71 / $147.91 / $234.42	Professional		$104.71	$147.91	$234.42