Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $300.00 / $600.00	Facility		$150.00	$300.00	$600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $240.00 / $240.00	Professional		$150.00	$240.00	$240.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $130.00 / $130.00	Facility		$130.00	$130.00	$130.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $310.00 / $326.00 / $326.00	Professional		$310.00	$326.00	$326.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $130.00 / $200.00	Facility		$128.00	$130.00	$200.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $211.00 / $240.00 / $278.00	Professional		$211.00	$240.00	$278.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $84.00 / $120.00	Professional		$84.00	$84.00	$120.00