Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $87.10 / $112.20	Professional		$44.67	$87.10	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $144.54	Professional		$95.50	$95.50	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $91.20 / $114.82	Facility		$61.66	$91.20	$114.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $77.62	Professional		$42.66	$51.29	$77.62