Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.88 / $63.83 / $346.81	Professional		$46.88	$63.83	$346.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.57 / $200.57 / $200.57	Professional		$200.57	$200.57	$200.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $26.14 / $26.14	Professional		$26.14	$26.14	$26.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.57 / $200.57 / $200.57	Professional		$200.57	$200.57	$200.57
United Facility/Professional Professional Modifier Low / Median / High Price $85.04 / $110.54 / $152.40	Professional		$85.04	$110.54	$152.40