Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.34 / $2,145.78 / $7,838.38	Facility		$197.34	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.30 / $165.64 / $298.66	Professional		$139.30	$165.64	$298.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.76 / $241.84 / $322.33	Professional		$171.76	$241.84	$322.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $158.12 / $283.02	Professional		$32.34	$158.12	$283.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $149.32 / $181.62 / $220.16	Facility		$149.32	$181.62	$220.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.62 / $248.11 / $322.33	Professional		$181.62	$248.11	$322.33
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $3,085.00 / $4,616.00	Facility		$3,085.00	$3,085.00	$4,616.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.82 / $252.20 / $404.20	Professional		$190.82	$252.20	$404.20