Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $117.54 / $151.61	Professional		$58.29	$117.54	$151.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $67.76 / $67.76	Professional		$67.76	$67.76	$67.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $232.76 / $232.76	Professional		$95.00	$232.76	$232.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.19 / $109.45 / $151.68	Facility		$102.19	$109.45	$151.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $67.76 / $123.61	Professional		$67.76	$67.76	$123.61
United Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $70.42 / $106.09	Professional		$65.11	$70.42	$106.09