Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $7,762.47	Facility		$158.49	$1,047.13	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $288.40	Professional		$107.15	$141.25	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $218.78	Professional		$134.90	$177.83	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $162.18	Professional		$32.36	$33.11	$162.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $177.83 / $309.03	Facility		$128.82	$177.83	$309.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $218.78	Professional		$131.83	$177.83	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,511.89 / $3,019.95	Facility		$416.87	$2,511.89	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $257.04	Professional		$134.90	$177.83	$257.04