Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $7,762.47	Facility		$7,762.47	$7,762.47	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $52.48 / $95.50	Professional		$16.98	$52.48	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $50.12 / $123.03	Facility		$19.95	$50.12	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $74.13 / $208.93	Professional		$48.98	$74.13	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $52.48 / $128.82	Professional		$25.70	$52.48	$128.82