Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.76 / $221.24 / $422.78	Professional		$109.76	$221.24	$422.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $253.38 / $425.64	Professional		$159.94	$253.38	$425.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $219.53 / $388.92	Professional		$32.34	$219.53	$388.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.21 / $253.38 / $446.43	Professional		$141.21	$253.38	$446.43
United Facility/Professional Professional Modifier Low / Median / High Price $252.45 / $359.00 / $564.84	Professional		$252.45	$359.00	$564.84