Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.30 / $126.74 / $205.54	Professional		$109.30	$126.74	$205.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.47 / $158.66 / $204.92	Professional		$115.47	$158.66	$204.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $162.22	Professional		$32.34	$32.34	$162.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.64 / $172.00 / $325.26	Professional		$121.64	$172.00	$325.26
United Facility/Professional Professional Modifier Low / Median / High Price $128.57 / $169.05 / $251.85	Professional		$128.57	$169.05	$251.85