Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $363.08 / $7,762.47	Facility		$138.04	$363.08	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $190.55 / $338.84	Professional		$87.10	$190.55	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $741.31	Facility		$151.36	$151.36	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $199.53 / $354.81	Professional		$104.71	$199.53	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $295.12	Professional		$32.36	$33.11	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $208.93 / $363.08	Facility		$95.50	$208.93	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $218.78 / $380.19	Professional		$104.71	$218.78	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,467.37 / $5,248.07	Facility		$562.34	$3,467.37	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $194.98 / $354.81	Professional		$104.71	$194.98	$354.81