Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.35 / $117.85 / $263.08	Professional		$53.35	$117.85	$263.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $140.80 / $250.68	Professional		$73.94	$140.80	$250.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $222.90	Professional		$32.34	$32.34	$222.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.87 / $160.55 / $316.52	Professional		$86.87	$160.55	$316.52
United Facility/Professional Professional Modifier Low / Median / High Price $152.30 / $223.50 / $359.44	Professional		$152.30	$223.50	$359.44