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 $87.79 / $103.68 / $183.30	Professional		$87.79	$103.68	$183.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.37 / $178.34 / $216.46	Professional		$130.37	$178.34	$216.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.09 / $32.34 / $173.71	Professional		$32.09	$32.34	$173.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.02 / $136.21 / $151.97	Facility		$107.02	$136.21	$151.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.37 / $170.05 / $216.46	Professional		$130.37	$170.05	$216.46
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 $113.74 / $169.95 / $250.30	Professional		$113.74	$169.95	$250.30