Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $81.06 / $112.34	Professional		$42.90	$81.06	$112.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $46.19 / $46.19	Professional		$46.19	$46.19	$46.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $209.13 / $209.13	Professional		$95.00	$209.13	$209.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.84 / $96.32 / $109.06	Facility		$77.84	$96.32	$109.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $46.19 / $84.26	Professional		$46.19	$46.19	$84.26
United Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $48.01 / $72.31	Professional		$44.38	$48.01	$72.31