Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.76 / $7,838.38 / $7,838.38	Facility		$96.76	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.76 / $110.01 / $188.74	Professional		$96.76	$110.01	$188.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.04 / $154.36 / $207.22	Professional		$113.04	$154.36	$207.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $33.32 / $178.86	Professional		$32.34	$33.32	$178.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $172.39 / $173.23	Facility		$114.47	$172.39	$173.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.04 / $154.80 / $207.22	Professional		$113.04	$154.80	$207.22
United Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,327.00 / $1,327.00	Facility		$775.00	$1,327.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.83 / $175.80 / $250.42	Professional		$135.83	$175.80	$250.42