Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $900.00 / $1,800.00	Facility		$450.00	$900.00	$1,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $720.00 / $720.00	Professional		$450.00	$720.00	$720.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $390.00 / $390.00	Facility		$390.00	$390.00	$390.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $930.00 / $978.00 / $978.00	Professional		$930.00	$978.00	$978.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $390.00 / $756.00	Facility		$390.00	$390.00	$756.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $633.00 / $633.00 / $720.00	Professional		$633.00	$633.00	$720.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $252.00 / $360.00	Professional		$252.00	$252.00	$360.00