Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $120.23 / $158.49	Professional		$58.88	$120.23	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $199.53	Professional		$95.50	$95.50	$199.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $125.89 / $186.21	Facility		$93.33	$125.89	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $107.15	Professional		$54.95	$70.79	$107.15