Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.50 / $1,425.00 / $2,850.00	Facility		$712.50	$1,425.00	$2,850.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.50 / $1,140.00 / $1,140.00	Professional		$712.50	$1,140.00	$1,140.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $617.50 / $617.50 / $617.50	Facility		$617.50	$617.50	$617.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,472.50 / $1,548.50 / $1,548.50	Professional		$1,472.50	$1,548.50	$1,548.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $617.50 / $950.00 / $1,197.00	Facility		$617.50	$950.00	$1,197.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,002.25 / $1,140.00 / $1,320.50	Professional		$1,002.25	$1,140.00	$1,320.50
United Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $399.00 / $570.00	Professional		$399.00	$399.00	$570.00