Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.36 / $122.31 / $130.12	Professional		$61.36	$122.31	$130.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $71.33 / $71.33	Professional		$71.33	$71.33	$71.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.11 / $145.11 / $242.22	Professional		$145.11	$145.11	$242.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.35 / $113.92 / $154.35	Facility		$106.35	$113.92	$154.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $71.33 / $130.12	Professional		$71.33	$71.33	$130.12
United Facility/Professional Professional Modifier Low / Median / High Price $68.54 / $74.14 / $111.67	Professional		$68.54	$74.14	$111.67