Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.87 / $141.10 / $156.16	Professional		$76.87	$141.10	$156.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.93 / $80.93 / $80.93	Professional		$80.93	$80.93	$80.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.65 / $164.65 / $274.82	Professional		$164.65	$164.65	$274.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.67 / $129.25 / $147.63	Facility		$120.67	$129.25	$147.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.93 / $80.93 / $157.47	Professional		$80.93	$80.93	$157.47
United Facility/Professional Professional Modifier Low / Median / High Price $77.77 / $84.11 / $126.70	Professional		$77.77	$84.11	$126.70