Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $112.20 / $128.82	Professional		$52.48	$112.20	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $204.17	Professional		$95.50	$95.50	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $123.03 / $177.83	Facility		$91.20	$123.03	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $64.57 / $97.72	Professional		$60.26	$64.57	$97.72