Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.50 / $2,145.78 / $7,838.38	Facility		$169.50	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $144.83 / $234.97	Professional		$49.10	$144.83	$234.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.52 / $138.26 / $270.77	Professional		$67.52	$138.26	$270.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $75.22 / $222.67	Professional		$32.34	$75.22	$222.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $151.78 / $197.26	Facility		$63.50	$151.78	$197.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $144.69 / $270.77	Professional		$64.12	$144.69	$270.77
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $3,085.00 / $4,616.00	Facility		$3,085.00	$3,085.00	$4,616.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.86 / $211.20 / $295.47	Professional		$158.86	$211.20	$295.47