Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.60 / $104.44 / $126.49	Professional		$49.60	$104.44	$126.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $57.66	Professional		$57.66	$57.66	$57.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $206.83 / $206.83	Professional		$95.00	$206.83	$206.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.83 / $97.18 / $137.49	Facility		$90.83	$97.18	$137.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $108.16	Professional		$57.66	$57.66	$108.16
United Facility/Professional Professional Modifier Low / Median / High Price $55.40 / $59.93 / $90.27	Professional		$55.40	$59.93	$90.27