Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.87 / $685.72 / $685.72	Professional		$511.87	$685.72	$685.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $75.70 / $75.70	Professional		$75.70	$75.70	$75.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $165.45 / $1,025.76	Professional		$75.00	$165.45	$1,025.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $301.95 / $540.85 / $849.90	Facility		$301.95	$540.85	$849.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $75.70 / $75.70	Professional		$75.70	$75.70	$75.70
United Facility/Professional Professional Modifier Low / Median / High Price $340.34 / $464.26 / $573.46	Professional		$340.34	$464.26	$573.46