Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $338.84 / $7,762.47	Facility		$131.83	$338.84	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $194.98 / $338.84	Professional		$93.33	$194.98	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $208.93 / $354.81	Professional		$112.20	$208.93	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $295.12	Professional		$32.36	$33.11	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $208.93 / $363.08	Facility		$95.50	$208.93	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $223.87 / $380.19	Professional		$114.82	$223.87	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,467.37 / $5,011.87	Facility		$562.34	$3,467.37	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $208.93 / $380.19	Professional		$117.49	$208.93	$380.19