Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $363.08	Professional		$112.20	$147.91	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $251.19	Professional		$141.25	$199.53	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $204.17	Professional		$32.36	$33.11	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $251.19	Professional		$141.25	$199.53	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $194.98 / $288.40	Professional		$141.25	$194.98	$288.40