Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,145.78 / $7,838.38	Facility		$1,000.00	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.62 / $56.96 / $80.92	Professional		$52.62	$56.96	$80.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $62.14 / $778.79	Facility		$62.14	$62.14	$778.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.43 / $80.98 / $105.59	Professional		$55.43	$80.98	$105.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $40.66 / $1,500.00	Professional		$7.74	$40.66	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.02 / $63.75 / $85.92	Facility		$47.02	$63.75	$85.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.25 / $83.15 / $105.59	Professional		$60.25	$83.15	$105.59
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $3,085.00 / $5,060.00	Facility		$755.00	$3,085.00	$5,060.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.39 / $80.84 / $116.06	Professional		$56.39	$80.84	$116.06