Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.00 / $662.00 / $1,731.00	Facility		$285.00	$662.00	$1,731.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $450.00 / $1,100.00	Facility		$400.00	$450.00	$1,100.00
Molina Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $370.00 / $500.00	Facility		$320.00	$370.00	$500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $450.00 / $1,100.00	Facility		$400.00	$450.00	$1,100.00
United Facility/Professional Facility Modifier Low / Median / High Price $644.00 / $1,205.00 / $2,295.00	Facility		$644.00	$1,205.00	$2,295.00