Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,137.96 / $7,762.47	Facility		$1,047.13	$2,137.96	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $83.18	Professional		$50.12	$58.88	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $776.25	Facility		$93.33	$93.33	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $77.62 / $104.71	Professional		$56.23	$77.62	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $38.90 / $281.84	Professional		$7.76	$38.90	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $69.18 / $109.65	Facility		$51.29	$69.18	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $123.03	Professional		$57.54	$77.62	$123.03
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 $54.95 / $77.62 / $112.20	Professional		$54.95	$77.62	$112.20