Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.43 / $228.25 / $710.30	Professional		$129.43	$228.25	$710.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.79 / $217.96 / $369.82	Professional		$142.79	$217.96	$369.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $100.28 / $339.99	Professional		$32.34	$100.28	$339.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.66 / $256.87 / $453.98	Professional		$156.66	$256.87	$453.98
United Facility/Professional Professional Modifier Low / Median / High Price $251.98 / $353.29 / $483.48	Professional		$251.98	$353.29	$483.48