Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.20 / $122.59 / $187.95	Professional		$114.20	$122.59	$187.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.85 / $150.86 / $190.07	Professional		$109.85	$150.86	$190.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $166.16	Professional		$32.34	$32.34	$166.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.69 / $170.98 / $279.43	Professional		$120.69	$170.98	$279.43
United Facility/Professional Professional Modifier Low / Median / High Price $106.42 / $147.41 / $230.69	Professional		$106.42	$147.41	$230.69