Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $1,047.13 / $7,762.47	Facility		$173.78	$1,047.13	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $316.23	Professional		$114.82	$141.25	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $245.47	Professional		$147.91	$213.80	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $190.55 / $323.59	Facility		$138.04	$190.55	$323.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $245.47	Professional		$144.54	$208.93	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,511.89 / $7,244.36	Facility		$416.87	$2,511.89	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $295.12	Professional		$147.91	$199.53	$295.12