Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.09 / $7,838.38 / $7,838.38	Facility		$246.09	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.20 / $239.60 / $353.90	Professional		$211.20	$239.60	$353.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.61 / $267.61 / $267.61	Facility		$267.61	$267.61	$267.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.79 / $350.99 / $440.50	Professional		$258.79	$350.99	$440.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $371.77	Professional		$32.34	$32.34	$371.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $224.47 / $278.63 / $353.90	Facility		$224.47	$278.63	$353.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.08 / $379.36 / $620.33	Professional		$269.08	$379.36	$620.33
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 $243.00 / $345.00 / $502.97	Professional		$243.00	$345.00	$502.97