Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.79 / $193.86 / $359.66	Professional		$120.79	$193.86	$359.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.47 / $232.94 / $402.78	Professional		$151.47	$232.94	$402.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $70.97 / $374.43	Professional		$32.34	$70.97	$374.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.30 / $284.20 / $538.89	Professional		$155.30	$284.20	$538.89
United Facility/Professional Professional Modifier Low / Median / High Price $216.01 / $320.31 / $490.55	Professional		$216.01	$320.31	$490.55