Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $524.81 / $7,762.47	Facility		$316.23	$524.81	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $323.59 / $549.54	Professional		$218.78	$323.59	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $776.25	Facility		$380.19	$380.19	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $575.44	Professional		$263.03	$389.05	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $457.09	Professional		$32.36	$33.11	$457.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $371.54 / $630.96	Facility		$229.09	$371.54	$630.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $602.56	Professional		$269.15	$398.11	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,467.37 / $6,760.83	Facility		$562.34	$3,467.37	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $616.60	Professional		$269.15	$407.38	$616.60