Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.46 / $2,145.78 / $7,838.38	Facility		$251.46	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.75 / $218.18 / $331.56	Professional		$99.75	$218.18	$331.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.95 / $180.95 / $749.86	Facility		$180.95	$180.95	$749.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.51 / $219.37 / $407.10	Professional		$123.51	$219.37	$407.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $63.57 / $338.00	Professional		$32.34	$63.57	$338.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.86 / $204.48 / $295.63	Facility		$97.86	$204.48	$295.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $263.25 / $495.04	Professional		$128.88	$263.25	$495.04
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 $218.66 / $308.94 / $477.44	Professional		$218.66	$308.94	$477.44