Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.13 / $197.98 / $263.97	Professional		$96.13	$197.98	$263.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.53 / $108.53 / $108.53	Professional		$108.53	$108.53	$108.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $294.39 / $294.39 / $491.38	Professional		$294.39	$294.39	$491.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.19 / $226.33 / $256.24	Facility		$192.19	$226.33	$256.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.53 / $108.53 / $197.98	Professional		$108.53	$108.53	$197.98
United Facility/Professional Professional Modifier Low / Median / High Price $104.29 / $112.80 / $169.92	Professional		$104.29	$112.80	$169.92