Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $420.00 / $840.00	Facility		$210.00	$420.00	$840.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $336.00 / $1,800.40	Professional		$210.00	$336.00	$1,800.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.00 / $182.00 / $182.00	Facility		$182.00	$182.00	$182.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.85 / $250.85 / $317.86	Professional		$250.85	$250.85	$317.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $434.00 / $456.40	Professional		$70.00	$434.00	$456.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.94 / $182.00 / $352.80	Facility		$93.94	$182.00	$352.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.85 / $338.80 / $389.20	Professional		$250.85	$338.80	$389.20
United Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $117.60 / $168.00	Professional		$117.60	$117.60	$168.00