Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $426.58 / $7,762.47	Facility		$147.91	$426.58	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $194.98 / $436.52	Professional		$93.33	$194.98	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $194.98 / $457.09	Professional		$107.15	$194.98	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $223.87	Professional		$32.36	$33.11	$223.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $229.09 / $457.09	Facility		$97.72	$229.09	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $218.78 / $478.63	Professional		$109.65	$218.78	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,511.89 / $3,890.45	Facility		$416.87	$2,511.89	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $234.42 / $426.58	Professional		$125.89	$234.42	$426.58