Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,838.38 / $7,838.38 / $7,838.38	Facility		$7,838.38	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.43 / $53.37 / $86.68	Professional		$17.43	$53.37	$86.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $29.04 / $29.04	Facility		$29.04	$29.04	$29.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $74.09 / $74.09	Professional		$74.09	$74.09	$74.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.46 / $41.60 / $79.00	Facility		$20.46	$41.60	$79.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.92 / $74.09 / $214.04	Professional		$47.92	$74.09	$214.04
United Facility/Professional Professional Modifier Low / Median / High Price $54.73 / $96.35 / $158.34	Professional		$54.73	$96.35	$158.34