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 $114.55 / $150.49 / $210.42	Professional		$114.55	$150.49	$210.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.77 / $216.87 / $245.69	Professional		$164.77	$216.87	$245.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $36.12 / $194.72	Professional		$32.34	$36.12	$194.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.52 / $167.37 / $202.28	Facility		$135.52	$167.37	$202.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.77 / $222.79 / $245.69	Professional		$164.77	$222.79	$245.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,824.00 / $2,516.00 / $2,655.00	Facility		$1,824.00	$2,516.00	$2,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.36 / $206.83 / $294.04	Professional		$172.36	$206.83	$294.04