Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.04 / $7,838.38 / $7,838.38	Facility		$119.04	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.38 / $119.04 / $171.99	Professional		$106.38	$119.04	$171.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.34 / $129.34 / $129.34	Facility		$129.34	$129.34	$129.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $188.75 / $247.13	Professional		$131.44	$188.75	$247.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $179.58	Professional		$32.34	$32.34	$179.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.38 / $129.34 / $175.87	Facility		$106.38	$129.34	$175.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.82 / $202.23 / $299.93	Professional		$134.82	$202.23	$299.93
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $4,616.00 / $17,636.00	Facility		$755.00	$4,616.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.62 / $195.46 / $271.76	Professional		$121.62	$195.46	$271.76