Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.88 / $260.69 / $279.58	Professional		$98.88	$260.69	$279.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.94 / $114.94 / $114.94	Professional		$114.94	$114.94	$114.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $364.69 / $364.69 / $520.42	Professional		$364.69	$364.69	$520.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $203.54 / $239.94 / $276.77	Facility		$203.54	$239.94	$276.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.94 / $114.94 / $279.58	Professional		$114.94	$114.94	$279.58
United Facility/Professional Professional Modifier Low / Median / High Price $110.45 / $119.47 / $179.96	Professional		$110.45	$119.47	$179.96