Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.13 / $169.78 / $262.64	Professional		$147.13	$169.78	$262.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.55 / $233.27 / $303.02	Professional		$152.55	$233.27	$303.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $215.45	Professional		$32.34	$32.34	$215.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $258.27 / $437.57	Professional		$170.48	$258.27	$437.57
United Facility/Professional Professional Modifier Low / Median / High Price $173.59 / $264.55 / $389.20	Professional		$173.59	$264.55	$389.20