Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,145.78 / $7,838.38	Facility		$1,000.00	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.19 / $101.77 / $192.78	Professional		$92.19	$101.77	$192.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $168.98 / $206.74	Professional		$121.52	$168.98	$206.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $33.91 / $182.69	Professional		$32.34	$33.91	$182.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.28 / $135.27 / $156.26	Facility		$106.28	$135.27	$156.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $172.37 / $206.74	Professional		$121.52	$172.37	$206.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,824.00 / $2,516.00 / $2,655.00	Facility		$1,824.00	$2,516.00	$2,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $164.43 / $263.25	Professional		$130.50	$164.43	$263.25