Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,145.78 / $7,838.38	Facility		$1,000.00	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.88 / $162.61 / $242.86	Professional		$144.88	$162.61	$242.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.45 / $231.62 / $277.48	Professional		$173.45	$231.62	$277.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $42.72 / $230.16	Professional		$32.34	$42.72	$230.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.58 / $200.55 / $230.15	Facility		$157.58	$200.55	$230.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.45 / $226.24 / $277.48	Professional		$173.45	$226.24	$277.48
United Facility/Professional Facility Modifier Low / Median / High Price $4,834.00 / $6,599.00 / $7,158.00	Facility		$4,834.00	$6,599.00	$7,158.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.80 / $234.85 / $341.28	Professional		$190.80	$234.85	$341.28