Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.00 / $456.00 / $456.00	Facility		$456.00	$456.00	$456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $398.40 / $456.00	Professional		$384.00	$398.40	$456.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Facility		$408.00	$408.00	$408.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Professional		$408.00	$408.00	$408.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,500.00	Professional		$60.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.20 / $408.00 / $480.00	Facility		$331.20	$408.00	$480.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Professional		$408.00	$408.00	$408.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Professional		$480.00	$480.00	$480.00