Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.54 / $2,095.00 / $7,838.38	Facility		$73.54	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.54 / $488.04 / $800.83	Professional		$73.54	$488.04	$800.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.36 / $196.49 / $1,120.96	Professional		$102.36	$196.49	$1,120.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $929.10	Professional		$32.34	$32.34	$929.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.77 / $186.99 / $587.29	Facility		$84.77	$186.99	$587.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.62 / $220.89 / $1,211.33	Professional		$106.62	$220.89	$1,211.33
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $6,810.00 / $17,636.00	Facility		$3,085.00	$6,810.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.01 / $424.80 / $1,038.80	Professional		$227.01	$424.80	$1,038.80