Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.77 / $144.91 / $154.16	Professional		$76.77	$144.91	$154.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $84.51 / $84.51	Professional		$84.51	$84.51	$84.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $286.98 / $286.98	Professional		$95.00	$286.98	$286.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.01 / $134.97 / $154.16	Facility		$126.01	$134.97	$154.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $84.51 / $154.16	Professional		$84.51	$84.51	$154.16
United Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $87.83 / $132.31	Professional		$81.20	$87.83	$132.31