Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $950.00 / $950.00	Facility		$950.00	$950.00	$950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $830.00 / $830.00 / $950.00	Professional		$830.00	$830.00	$950.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $212.00 / $212.00	Facility		$212.00	$212.00	$212.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $212.00	Professional		$212.00	$212.00	$212.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.57 / $86.57 / $86.57	Professional		$86.57	$86.57	$86.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $775.35 / $1,040.28	Facility		$212.00	$775.35	$1,040.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $212.00	Professional		$212.00	$212.00	$212.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $212.00	Professional		$212.00	$212.00	$212.00