Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $102.33 / $128.82	Professional		$48.98	$102.33	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $177.83	Professional		$95.50	$95.50	$177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $109.65 / $162.18	Facility		$83.18	$109.65	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $60.26 / $91.20	Professional		$46.77	$60.26	$91.20