Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.41 / $7,838.38 / $7,838.38	Facility		$146.41	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.45 / $167.74 / $275.69	Professional		$115.45	$167.74	$275.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.51 / $273.83 / $347.02	Professional		$191.51	$273.83	$347.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $293.04	Professional		$32.34	$32.34	$293.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $191.46 / $234.98 / $249.50	Facility		$191.46	$234.98	$249.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.27 / $276.48 / $347.02	Professional		$203.27	$276.48	$347.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $4,262.00 / $17,636.00	Facility		$3,085.00	$4,262.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $216.94 / $282.25 / $386.35	Professional		$216.94	$282.25	$386.35