Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $78.43 / $148.18	Professional		$42.66	$78.43	$148.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.89 / $89.80 / $163.63	Professional		$54.89	$89.80	$163.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.16 / $78.48 / $139.59	Professional		$26.16	$78.48	$139.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.27 / $89.80 / $163.63	Professional		$57.27	$89.80	$163.63
United Facility/Professional Professional Modifier Low / Median / High Price $96.64 / $126.88 / $201.45	Professional		$96.64	$126.88	$201.45