Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $83.72 / $91.22	Professional		$45.92	$83.72	$91.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $48.24 / $48.24	Professional		$48.24	$48.24	$48.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $140.69 / $163.82	Professional		$60.00	$140.69	$163.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.93 / $77.04 / $96.02	Facility		$71.93	$77.04	$96.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $48.24 / $91.77	Professional		$48.24	$48.24	$91.77
United Facility/Professional Professional Modifier Low / Median / High Price $46.36 / $50.14 / $75.53	Professional		$46.36	$50.14	$75.53