Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.18 / $88.18 / $88.18	Facility		$88.18	$88.18	$88.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.96 / $85.74 / $418.29	Professional		$60.96	$85.74	$418.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $785.24 / $785.24 / $785.24	Professional		$785.24	$785.24	$785.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $2,014.68	Professional		$60.00	$60.00	$2,014.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.81 / $540.42 / $1,359.60	Facility		$72.81	$540.42	$1,359.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $785.24 / $785.24 / $785.24	Professional		$785.24	$785.24	$785.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,438.66 / $1,438.66 / $1,438.66	Professional		$1,438.66	$1,438.66	$1,438.66