Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.00 / $285.00 / $285.00	Facility		$285.00	$285.00	$285.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $249.00 / $285.00	Professional		$240.00	$249.00	$285.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Facility		$255.00	$255.00	$255.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Professional		$255.00	$255.00	$255.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $230.34 / $230.34 / $345.51	Professional		$230.34	$230.34	$345.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.69 / $255.00 / $255.00	Facility		$53.69	$255.00	$255.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $252.07 / $255.00 / $255.00	Professional		$252.07	$255.00	$255.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $250.00 / $250.00	Professional		$250.00	$250.00	$250.00