Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.62 / $156.62 / $929.71	Professional		$156.62	$156.62	$929.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.54 / $116.23 / $219.85	Professional		$83.54	$116.23	$219.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $69.75 / $188.70	Professional		$32.34	$69.75	$188.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.73 / $81.45 / $173.88	Facility		$66.73	$81.45	$173.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $147.01 / $368.84	Professional		$90.80	$147.01	$368.84
United Facility/Professional Professional Modifier Low / Median / High Price $44.85 / $81.64 / $204.09	Professional		$44.85	$81.64	$204.09