Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.08 / $129.29 / $214.05	Professional		$122.08	$129.29	$214.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.38 / $198.75 / $250.09	Professional		$152.38	$198.75	$250.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $37.75 / $202.85	Professional		$32.34	$37.75	$202.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $152.38 / $198.75 / $250.09	Professional		$152.38	$198.75	$250.09
United Facility/Professional Professional Modifier Low / Median / High Price $157.05 / $198.93 / $301.31	Professional		$157.05	$198.93	$301.31