Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.88 / $7,838.38 / $7,838.38	Facility		$111.88	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.98 / $108.99 / $161.03	Professional		$95.98	$108.99	$161.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.98 / $120.98 / $120.98	Facility		$120.98	$120.98	$120.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $158.68 / $205.77	Professional		$117.99	$158.68	$205.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $168.66	Professional		$32.34	$32.34	$168.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.47 / $134.46 / $162.26	Facility		$103.47	$134.46	$162.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.96 / $172.11 / $282.13	Professional		$119.96	$172.11	$282.13
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $4,616.00 / $17,636.00	Facility		$755.00	$4,616.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.02 / $157.00 / $226.64	Professional		$111.02	$157.00	$226.64