Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,548.82 / $8,709.64	Facility		$275.42	$1,548.82	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $363.08	Professional		$173.78	$208.93	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $1,659.59	Facility		$331.13	$331.13	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $354.81	Professional		$199.53	$263.03	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $281.84	Professional		$32.36	$33.11	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $251.19 / $407.38	Facility		$181.97	$251.19	$407.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $436.52	Professional		$204.17	$281.84	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $6,025.60 / $14,454.40	Facility		$645.65	$6,025.60	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $380.19	Professional		$194.98	$263.03	$380.19