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 $65.80 / $72.18 / $113.06	Professional		$65.80	$72.18	$113.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.01 / $101.57 / $126.63	Professional		$77.01	$101.57	$126.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $32.34 / $107.14	Professional		$19.67	$32.34	$107.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.61 / $97.89 / $192.41	Facility		$68.61	$97.89	$192.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.01 / $100.44 / $126.63	Professional		$77.01	$100.44	$126.63
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 $83.25 / $105.44 / $157.94	Professional		$83.25	$105.44	$157.94