Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,236.00 / $1,736.00 / $5,619.00	Facility		$1,236.00	$1,736.00	$5,619.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $1,325.00 / $4,635.00	Facility		$400.00	$1,325.00	$4,635.00
Molina Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $375.00 / $375.00	Facility		$375.00	$375.00	$375.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $1,325.00 / $4,635.00	Facility		$400.00	$1,325.00	$4,635.00
United Facility/Professional Facility Modifier Low / Median / High Price $725.00 / $1,100.00 / $2,295.00	Facility		$725.00	$1,100.00	$2,295.00