Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.05 / $2,145.78 / $7,838.38	Facility		$104.05	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.34 / $133.19 / $175.36	Professional		$77.34	$133.19	$175.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.33 / $119.40 / $172.46	Professional		$88.33	$119.40	$172.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $130.29	Professional		$32.34	$32.34	$130.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.17 / $113.21 / $149.69	Facility		$82.17	$113.21	$149.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.97 / $149.33 / $230.46	Professional		$94.97	$149.33	$230.46
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.58 / $146.37 / $221.19	Professional		$103.58	$146.37	$221.19