Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.18 / $500.41 / $500.41	Professional		$420.18	$500.41	$500.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Professional		$65.00	$65.00	$65.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.39 / $120.73 / $748.68	Professional		$64.39	$120.73	$748.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $259.29 / $443.97 / $697.66	Facility		$259.29	$443.97	$697.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Professional		$65.00	$65.00	$65.00
United Facility/Professional Professional Modifier Low / Median / High Price $292.23 / $398.43 / $492.67	Professional		$292.23	$398.43	$492.67