Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $64.57 / $144.54	Professional		$52.48	$64.57	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $199.53	Professional		$60.26	$95.50	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $151.36	Professional		$83.18	$104.71	$151.36