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 $68.16 / $76.45 / $125.10	Professional		$68.16	$76.45	$125.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.21 / $116.77 / $139.83	Professional		$87.21	$116.77	$139.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $32.34 / $115.81	Professional		$21.40	$32.34	$115.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.05 / $94.90 / $115.32	Facility		$78.05	$94.90	$115.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.21 / $113.75 / $139.83	Professional		$87.21	$113.75	$139.83
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 $98.11 / $114.92 / $169.85	Professional		$98.11	$114.92	$169.85