Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.24 / $106.18 / $138.55	Professional		$55.24	$106.18	$138.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $61.92 / $61.92	Professional		$61.92	$61.92	$61.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $210.27 / $210.27	Professional		$95.00	$210.27	$210.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.33 / $98.89 / $128.87	Facility		$92.33	$98.89	$128.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $61.92 / $112.96	Professional		$61.92	$61.92	$112.96
United Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $64.36 / $96.94	Professional		$59.50	$64.36	$96.94