Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,548.82 / $8,709.64	Facility		$269.15	$1,548.82	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $194.98 / $363.08	Professional		$169.82	$194.98	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $281.84 / $630.96	Professional		$154.88	$281.84	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $56.23	Professional		$32.36	$33.11	$56.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $269.15 / $407.38	Facility		$173.78	$269.15	$407.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $288.40 / $446.68	Professional		$169.82	$288.40	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,096.48 / $1,412.54	Facility		$229.09	$1,096.48	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $389.05	Professional		$204.17	$275.42	$389.05