Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $371.54	Professional		$173.78	$208.93	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $354.81 / $588.84	Professional		$208.93	$354.81	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $239.88	Professional		$32.36	$33.11	$239.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $251.19 / $467.74	Facility		$181.97	$251.19	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $524.81	Professional		$213.80	$338.84	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,096.48 / $14,791.08	Facility		$229.09	$1,096.48	$14,791.08
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $371.54 / $512.86	Professional		$223.87	$371.54	$512.86