Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.10 / $7,838.38 / $7,838.38	Facility		$226.10	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.42 / $214.96 / $306.18	Professional		$204.42	$214.96	$306.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.55 / $238.55 / $238.55	Facility		$238.55	$238.55	$238.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.17 / $331.63 / $420.87	Professional		$241.17	$331.63	$420.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $326.54	Professional		$32.34	$32.34	$326.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.33 / $270.10 / $329.93	Facility		$200.33	$270.10	$329.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $243.80 / $355.89 / $542.01	Professional		$243.80	$355.89	$542.01
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 $226.35 / $327.80 / $450.71	Professional		$226.35	$327.80	$450.71