Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.00 / $266.00 / $319.45	Facility		$266.00	$266.00	$319.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.36 / $255.56 / $266.00	Professional		$159.36	$255.56	$266.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.64 / $53.64 / $105.30	Professional		$53.64	$53.64	$105.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $1,000.00	Professional		$50.00	$85.00	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $149.58 / $203.17 / $403.15	Facility		$149.58	$203.17	$403.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.64 / $105.30 / $1,459.50	Professional		$53.64	$105.30	$1,459.50
United Facility/Professional Professional Modifier Low / Median / High Price $351.51 / $386.66 / $740.25	Professional		$351.51	$386.66	$740.25