Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $300.00 / $600.00	Facility		$150.00	$300.00	$600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $240.00 / $1,286.00	Professional		$150.00	$240.00	$1,286.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $130.00 / $130.00	Facility		$130.00	$130.00	$130.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.22 / $179.22 / $226.93	Professional		$179.22	$179.22	$226.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $310.00 / $326.00	Professional		$70.00	$310.00	$326.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $252.00 / $570.04	Facility		$130.00	$252.00	$570.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $253.00 / $288.00	Professional		$230.00	$253.00	$288.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $84.00 / $120.00	Professional		$84.00	$84.00	$120.00