Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $295.12 / $7,762.47	Facility		$199.53	$295.12	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $446.68	Professional		$138.04	$181.97	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $309.03	Professional		$173.78	$239.88	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $245.47 / $446.68	Facility		$169.82	$245.47	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $309.03	Professional		$173.78	$239.88	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,511.89 / $3,981.07	Facility		$416.87	$2,511.89	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $354.81	Professional		$173.78	$239.88	$354.81