Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $154.88 / $1,000.00	Professional		$100.00	$154.88	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $223.87 / $316.23	Professional		$134.90	$223.87	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $389.05	Professional		$234.42	$234.42	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $234.42 / $398.11	Facility		$177.83	$234.42	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $295.12	Professional		$134.90	$208.93	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $288.40	Professional		$91.20	$123.03	$288.40