Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.53 / $2,095.00 / $7,838.38	Facility		$190.53	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.77 / $190.53 / $1,028.67	Professional		$176.77	$190.53	$1,028.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.07 / $293.36 / $382.90	Professional		$190.07	$293.36	$382.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $333.58	Professional		$32.34	$32.34	$333.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.85 / $267.17 / $1,003.80	Facility		$195.85	$267.17	$1,003.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.57 / $312.92 / $506.30	Professional		$195.57	$312.92	$506.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $5,089.00 / $17,636.00	Facility		$3,085.00	$5,089.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.12 / $294.49 / $448.72	Professional		$219.12	$294.49	$448.72