Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $780.00 / $1,560.00	Facility		$390.00	$780.00	$1,560.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $624.00 / $3,343.60	Professional		$390.00	$624.00	$3,343.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $466.04 / $466.04 / $590.26	Professional		$466.04	$466.04	$590.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $806.00 / $847.60 / $847.60	Professional		$806.00	$847.60	$847.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $520.00 / $655.20	Facility		$520.00	$520.00	$655.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $548.60 / $629.20 / $722.80	Professional		$548.60	$629.20	$722.80
United Facility/Professional Professional Modifier Low / Median / High Price $218.40 / $218.40 / $312.00	Professional		$218.40	$218.40	$312.00