Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.30 / $7,838.38 / $7,838.38	Facility		$177.30	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $172.48 / $254.50	Professional		$149.69	$172.48	$254.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.58 / $192.58 / $192.58	Facility		$192.58	$192.58	$192.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.85 / $248.75 / $313.77	Professional		$184.85	$248.75	$313.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $268.89	Professional		$32.34	$32.34	$268.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $199.94 / $254.50	Facility		$163.19	$199.94	$254.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.20 / $272.89 / $446.78	Professional		$190.20	$272.89	$446.78
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,158.00 / $1,327.00	Facility		$200.00	$1,158.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.37 / $246.95 / $362.82	Professional		$179.37	$246.95	$362.82