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 $102.98 / $108.47 / $155.26	Professional		$102.98	$108.47	$155.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.58 / $120.58 / $596.36	Facility		$120.58	$120.58	$596.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.29 / $167.09 / $214.56	Professional		$122.29	$167.09	$214.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $163.28	Professional		$32.34	$32.34	$163.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.33 / $139.93 / $189.18	Facility		$100.33	$139.93	$189.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.48 / $179.18 / $278.57	Professional		$122.48	$179.18	$278.57
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 $115.07 / $164.64 / $251.91	Professional		$115.07	$164.64	$251.91