Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.52 / $90.90 / $106.09	Professional		$37.52	$90.90	$106.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $43.62 / $43.62	Professional		$43.62	$43.62	$43.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $169.62 / $197.49	Professional		$60.00	$169.62	$197.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.52 / $90.97 / $105.03	Facility		$73.52	$90.97	$105.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $43.62 / $97.49	Professional		$43.62	$43.62	$97.49
United Facility/Professional Professional Modifier Low / Median / High Price $41.92 / $45.34 / $68.29	Professional		$41.92	$45.34	$68.29