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 $99.42 / $125.79 / $189.80	Professional		$99.42	$125.79	$189.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.57 / $201.98 / $251.99	Professional		$153.57	$201.98	$251.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $33.93 / $179.87	Professional		$32.34	$33.93	$179.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.63 / $184.09 / $203.28	Facility		$144.63	$184.09	$203.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.57 / $200.31 / $251.99	Professional		$153.57	$200.31	$251.99
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 $154.16 / $196.56 / $288.36	Professional		$154.16	$196.56	$288.36