Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.14 / $5,000.27 / $7,838.38	Facility		$380.14	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.64 / $314.16 / $553.80	Professional		$187.64	$314.16	$553.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.90 / $346.45 / $518.70	Professional		$239.90	$346.45	$518.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $294.64 / $501.24	Professional		$32.34	$294.64	$501.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $203.75 / $309.37 / $448.08	Facility		$203.75	$309.37	$448.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $346.45 / $589.54	Professional		$234.00	$346.45	$589.54
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 $366.75 / $467.40 / $652.37	Professional		$366.75	$467.40	$652.37