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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $861.93 / $861.93 / $1,077.41	Professional		$861.93	$861.93	$1,077.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,500.00	Professional		$1,500.00	$1,500.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $487.50 / $712.50 / $900.00	Facility		$487.50	$712.50	$900.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $615.00 / $750.00 / $750.00	Professional		$615.00	$750.00	$750.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $315.00 / $450.00	Professional		$315.00	$315.00	$450.00