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 $110.25 / $118.88 / $173.03	Professional		$110.25	$118.88	$173.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $132.63 / $5,026.64	Facility		$132.63	$132.63	$5,026.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.37 / $186.38 / $228.83	Professional		$131.37	$186.38	$228.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $186.13	Professional		$32.34	$32.34	$186.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.07 / $136.59 / $199.04	Facility		$98.07	$136.59	$199.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $200.23 / $310.88	Professional		$136.22	$200.23	$310.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,092.00 / $9,127.00 / $10,150.00	Facility		$2,092.00	$9,127.00	$10,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.57 / $171.37 / $248.94	Professional		$120.57	$171.37	$248.94