Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.89 / $139.62 / $236.63	Professional		$105.89	$139.62	$236.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.74 / $204.78 / $250.55	Professional		$142.74	$204.78	$250.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $122.99 / $221.97	Professional		$32.34	$122.99	$221.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.74 / $204.78 / $260.74	Professional		$142.74	$204.78	$260.74
United Facility/Professional Professional Modifier Low / Median / High Price $160.41 / $223.84 / $321.52	Professional		$160.41	$223.84	$321.52