Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.45 / $2,145.78 / $7,838.38	Facility		$264.45	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.25 / $208.31 / $462.22	Professional		$93.25	$208.31	$462.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.50 / $187.02 / $419.27	Professional		$108.50	$187.02	$419.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $376.43	Professional		$32.34	$32.34	$376.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.25 / $218.88 / $275.63	Facility		$93.25	$218.88	$275.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.14 / $240.55 / $473.69	Professional		$112.14	$240.55	$473.69
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $2,516.00 / $2,877.00	Facility		$418.00	$2,516.00	$2,877.00
United Facility/Professional Professional Modifier Low / Median / High Price $261.58 / $346.42 / $504.03	Professional		$261.58	$346.42	$504.03