Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $660.00 / $1,320.00	Facility		$330.00	$660.00	$1,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.00 / $528.00 / $2,829.20	Professional		$330.00	$528.00	$2,829.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.00 / $286.00 / $286.00	Facility		$286.00	$286.00	$286.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.10 / $394.10 / $499.32	Professional		$394.10	$394.10	$499.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $682.00 / $717.20 / $717.20	Professional		$682.00	$717.20	$717.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.04 / $286.00 / $554.40	Facility		$178.04	$286.00	$554.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $394.10 / $532.40 / $611.60	Professional		$394.10	$532.40	$611.60
United Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $74.20 / $264.00	Professional		$74.20	$74.20	$264.00