Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.38 / $5,000.27 / $7,838.38	Facility		$417.38	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.68 / $392.88 / $567.63	Professional		$158.68	$392.88	$567.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.24 / $340.94 / $671.76	Professional		$217.24	$340.94	$671.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $317.45 / $537.92	Professional		$32.34	$317.45	$537.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $156.53 / $204.31 / $719.97	Facility		$156.53	$204.31	$719.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.73 / $340.94 / $702.13	Professional		$199.73	$340.94	$702.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,824.00 / $2,516.00 / $2,655.00	Facility		$1,824.00	$2,516.00	$2,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $422.67 / $623.16 / $851.63	Professional		$422.67	$623.16	$851.63