Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.77 / $94.92 / $105.70	Professional		$43.77	$94.92	$105.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $50.89 / $50.89	Professional		$50.89	$50.89	$50.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $169.01 / $196.77	Professional		$60.00	$169.01	$196.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.77 / $90.70 / $105.70	Facility		$85.77	$90.70	$105.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $50.89 / $101.80	Professional		$50.89	$50.89	$101.80
United Facility/Professional Professional Modifier Low / Median / High Price $48.90 / $52.89 / $79.67	Professional		$48.90	$52.89	$79.67