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 $222.65 / $246.27 / $333.33	Professional		$222.65	$246.27	$333.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.94 / $259.94 / $579.87	Facility		$259.94	$259.94	$579.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.56 / $334.55 / $427.39	Professional		$262.56	$334.55	$427.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $354.98	Professional		$32.34	$32.34	$354.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $214.72 / $251.73 / $565.23	Facility		$214.72	$251.73	$565.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $264.68 / $405.27 / $606.49	Professional		$264.68	$405.27	$606.49
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 $241.08 / $360.72 / $490.32	Professional		$241.08	$360.72	$490.32