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 $300.00 / $350.00 / $1,100.00	Facility		$300.00	$350.00	$1,100.00
Molina Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $600.00 / $660.00	Facility		$575.00	$600.00	$660.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $350.00 / $1,100.00	Facility		$300.00	$350.00	$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