Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $112.06 / $128.76	Professional		$53.55	$112.06	$128.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.26 / $62.26 / $62.26	Professional		$62.26	$62.26	$62.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $239.69 / $239.69	Professional		$95.00	$239.69	$239.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.93 / $110.52 / $128.76	Facility		$104.93	$110.52	$128.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.26 / $62.26 / $116.43	Professional		$62.26	$62.26	$116.43
United Facility/Professional Professional Modifier Low / Median / High Price $59.83 / $64.70 / $97.47	Professional		$59.83	$64.70	$97.47