Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $107.15 / $380.19	Professional		$66.07	$107.15	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $190.55	Professional		$102.33	$128.82	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $85.11	Professional		$60.26	$70.79	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $151.36 / $363.08	Facility		$75.86	$151.36	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $154.88 / $223.87	Professional		$123.03	$154.88	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Facility		$8,317.64	$8,317.64	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $125.89 / $194.98	Professional		$75.86	$125.89	$194.98