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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,091.56 / $1,091.56 / $1,364.45	Professional		$1,091.56	$1,091.56	$1,364.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $950.00 / $950.00 / $950.00	Professional		$950.00	$950.00	$950.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $902.50 / $950.00 / $1,140.00	Facility		$902.50	$950.00	$1,140.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $779.00 / $950.00 / $950.00	Professional		$779.00	$950.00	$950.00
United Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $399.00 / $570.00	Professional		$399.00	$399.00	$570.00