Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $302.00	Professional		$112.20	$141.25	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $229.09	Professional		$141.25	$186.21	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $169.82	Professional		$21.88	$33.11	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $229.09	Professional		$138.04	$186.21	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $275.42	Professional		$141.25	$186.21	$275.42