Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $128.82 / $7,762.47	Facility		$67.61	$128.82	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $75.86 / $204.17	Professional		$42.66	$75.86	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $141.25	Professional		$57.54	$87.10	$141.25
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 $60.26 / $95.50 / $173.78	Facility		$60.26	$95.50	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $141.25	Professional		$57.54	$87.10	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,148.15 / $1,412.54	Facility		$229.09	$1,148.15	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $134.90	Professional		$60.26	$91.20	$134.90