Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.33 / $5,000.27 / $7,838.38	Facility		$110.33	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.14 / $110.33 / $190.35	Professional		$100.14	$110.33	$190.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.25 / $169.47 / $220.76	Professional		$114.25	$169.47	$220.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $180.39	Professional		$32.34	$32.34	$180.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.57 / $157.87 / $201.71	Facility		$110.57	$157.87	$201.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.34 / $177.08 / $282.20	Professional		$117.34	$177.08	$282.20
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.19 / $174.35 / $270.18	Professional		$131.19	$174.35	$270.18