Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.50 / $1,125.00 / $2,250.00	Facility		$562.50	$1,125.00	$2,250.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.50 / $900.00 / $900.00	Professional		$562.50	$900.00	$900.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.50 / $487.50 / $487.50	Facility		$487.50	$487.50	$487.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,162.50 / $1,222.50 / $1,222.50	Professional		$1,162.50	$1,222.50	$1,222.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $487.50 / $750.00 / $945.00	Facility		$487.50	$750.00	$945.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $791.25 / $907.50 / $1,042.50	Professional		$791.25	$907.50	$1,042.50
United Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $315.00 / $450.00	Professional		$315.00	$315.00	$450.00