Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.01 / $2,145.78 / $7,838.38	Facility		$367.01	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.34 / $267.08 / $532.63	Professional		$173.34	$267.08	$532.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.61 / $343.06 / $509.72	Professional		$214.61	$343.06	$509.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $283.73 / $504.76	Professional		$32.34	$283.73	$504.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.27 / $251.75 / $379.58	Facility		$165.27	$251.75	$379.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $214.61 / $343.06 / $569.20	Professional		$214.61	$343.06	$569.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $3,085.00 / $4,616.00	Facility		$3,085.00	$3,085.00	$4,616.00
United Facility/Professional Professional Modifier Low / Median / High Price $317.20 / $460.60 / $680.19	Professional		$317.20	$460.60	$680.19