Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.12 / $75.12 / $451.64	Professional		$75.12	$75.12	$451.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $84.36 / $122.71	Professional		$40.14	$84.36	$122.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $32.34 / $99.08	Professional		$26.88	$32.34	$99.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $113.96 / $177.65	Professional		$64.98	$113.96	$177.65
United Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $45.33 / $125.48	Professional		$39.61	$45.33	$125.48