Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,137.96 / $7,762.47	Facility		$1,047.13	$2,137.96	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $134.90 / $245.47	Professional		$83.18	$134.90	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $213.80 / $446.68	Facility		$75.86	$213.80	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,148.15 / $1,949.84	Facility		$229.09	$1,148.15	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $489.78	Professional		$162.18	$269.15	$489.78