Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.00 / $570.00 / $1,140.00	Facility		$285.00	$570.00	$1,140.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.00 / $285.00 / $285.00	Professional		$285.00	$285.00	$285.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $247.00 / $247.00 / $247.00	Facility		$247.00	$247.00	$247.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $589.00 / $619.40 / $619.40	Professional		$589.00	$619.40	$619.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $247.00 / $380.00 / $478.80	Facility		$247.00	$380.00	$478.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $400.90 / $456.00 / $528.20	Professional		$400.90	$456.00	$528.20
United Facility/Professional Facility Modifier Low / Median / High Price $228.00 / $342.00 / $570.00	Facility		$228.00	$342.00	$570.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.60 / $159.60 / $228.00	Professional		$159.60	$159.60	$228.00