Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.66 / $50.66 / $271.48	Professional		$50.66	$50.66	$271.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $19.11 / $37.83	Professional		$7.02	$19.11	$37.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.22 / $50.66 / $68.81	Professional		$42.22	$50.66	$68.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.76 / $16.96 / $53.20	Facility		$14.76	$16.96	$53.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.57 / $48.55 / $58.69	Professional		$15.57	$48.55	$58.69
United Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $25.33 / $63.33	Professional		$8.92	$25.33	$63.33