Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.63 / $7,838.38 / $7,838.38	Facility		$62.63	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $62.63 / $108.41	Professional		$50.19	$62.63	$108.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $132.69 / $164.82	Professional		$80.23	$132.69	$164.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $81.94 / $1,500.00	Professional		$32.34	$81.94	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.87 / $116.93 / $130.32	Facility		$91.87	$116.93	$130.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.98 / $132.69 / $164.82	Professional		$90.98	$132.69	$164.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,427.98 / $13,851.00 / $13,851.00	Facility		$2,427.98	$13,851.00	$13,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.69 / $129.26 / $188.69	Professional		$98.69	$129.26	$188.69