Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.00 / $171.00 / $171.00	Facility		$171.00	$171.00	$171.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $149.40 / $171.00	Professional		$144.00	$149.40	$171.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Facility		$153.00	$153.00	$153.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,500.00	Professional		$1,500.00	$1,500.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $153.00 / $180.00	Facility		$144.00	$153.00	$180.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $225.00	Professional		$153.00	$153.00	$225.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $180.00	Professional		$180.00	$180.00	$180.00