Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $73.22 / $87.78	Professional		$40.21	$73.22	$87.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $42.25 / $42.25	Professional		$42.25	$42.25	$42.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $123.23 / $143.47	Professional		$60.00	$123.23	$143.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $67.47 / $77.06	Facility		$63.00	$67.47	$77.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $42.25 / $87.10	Professional		$42.25	$42.25	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $43.91 / $66.15	Professional		$40.60	$43.91	$66.15