Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $891.25	Professional		$436.52	$676.08	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $165.96 / $1,288.25	Professional		$70.79	$165.96	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $436.52 / $724.44	Facility		$67.61	$436.52	$724.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $794.33	Professional		$75.86	$75.86	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $363.08 / $741.31	Facility		$42.66	$363.08	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $602.56	Professional		$371.54	$467.74	$602.56