Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.92 / $2,145.78 / $7,838.38	Facility		$199.92	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.68 / $300.00 / $1,013.03	Professional		$160.68	$300.00	$1,013.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $875.00	Facility		$875.00	$875.00	$875.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.06 / $278.36 / $379.33	Professional		$159.06	$278.36	$379.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $270.16 / $364.71	Professional		$32.34	$270.16	$364.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $207.42 / $262.98 / $875.00	Facility		$207.42	$262.98	$875.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.06 / $278.36 / $352.00	Professional		$159.06	$278.36	$352.00
United Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $7,773.00 / $13,891.00	Facility		$790.00	$7,773.00	$13,891.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.27 / $277.95 / $383.55	Professional		$206.27	$277.95	$383.55