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 $116.37 / $127.02 / $180.54	Professional		$116.37	$127.02	$180.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.16 / $138.16 / $778.79	Facility		$138.16	$138.16	$778.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.92 / $179.98 / $234.48	Professional		$121.92	$179.98	$234.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $32.04 / $1,500.00	Professional		$5.82	$32.04	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $140.33 / $189.94	Facility		$105.00	$140.33	$189.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.96 / $183.82 / $234.48	Professional		$130.96	$183.82	$234.48
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 $126.67 / $179.00 / $257.94	Professional		$126.67	$179.00	$257.94