Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $1,047.13 / $7,762.47	Facility		$109.65	$1,047.13	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $93.33 / $199.53	Professional		$72.44	$93.33	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $190.55	Professional		$95.50	$144.54	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $114.82	Professional		$32.36	$33.11	$114.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $144.54 / $223.87	Facility		$97.72	$144.54	$223.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $190.55	Professional		$93.33	$141.25	$190.55
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 $100.00 / $147.91 / $199.53	Professional		$100.00	$147.91	$199.53