Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.64 / $87.47 / $110.39	Professional		$45.64	$87.47	$110.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $49.33 / $49.33	Professional		$49.33	$49.33	$49.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $167.53 / $167.53	Professional		$95.00	$167.53	$167.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.56 / $78.78 / $91.11	Facility		$73.56	$78.78	$91.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $49.33 / $93.80	Professional		$49.33	$49.33	$93.80
United Facility/Professional Professional Modifier Low / Median / High Price $47.41 / $51.28 / $77.23	Professional		$47.41	$51.28	$77.23