Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $50.00 / $1,209.76	Professional		$35.00	$50.00	$1,209.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $825.00 / $945.00 / $1,170.00	Professional		$825.00	$945.00	$1,170.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $276.45 / $1,050.00 / $1,500.00	Professional		$276.45	$1,050.00	$1,500.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $825.00 / $1,125.00 / $1,296.00	Professional		$825.00	$1,125.00	$1,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $60.00 / $88.00	Professional		$47.00	$60.00	$88.00