Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $772.00 / $1,731.00	Facility		$300.00	$772.00	$1,731.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $475.00 / $550.00 / $1,100.00	Facility		$475.00	$550.00	$1,100.00
Molina Facility/Professional Facility Modifier Low / Median / High Price $410.00 / $450.00 / $520.00	Facility		$410.00	$450.00	$520.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $475.00 / $550.00 / $1,100.00	Facility		$475.00	$550.00	$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