Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $99.93 / $107.60	Professional		$55.47	$99.93	$107.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $58.28 / $58.28	Professional		$58.28	$58.28	$58.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $169.97 / $197.90	Professional		$60.00	$169.97	$197.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.89 / $93.07 / $106.31	Facility		$86.89	$93.07	$106.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $58.28 / $115.40	Professional		$58.28	$58.28	$115.40
United Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $60.57 / $91.24	Professional		$56.00	$60.57	$91.24