Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.13 / $1,452.22 / $2,573.05	Professional		$371.13	$1,452.22	$2,573.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $557.34 / $1,239.44 / $3,457.64	Professional		$557.34	$1,239.44	$3,457.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,123.67 / $1,946.43	Professional		$32.34	$1,123.67	$1,946.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $557.34 / $1,615.79 / $3,400.70	Professional		$557.34	$1,615.79	$3,400.70
United Facility/Professional Professional Modifier Low / Median / High Price $2,150.00 / $3,138.99 / $4,487.21	Professional		$2,150.00	$3,138.99	$4,487.21