Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $117.59 / $125.10	Professional		$58.00	$117.59	$125.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $58.29 / $58.29	Professional		$58.29	$58.29	$58.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $232.88 / $232.88	Professional		$95.00	$232.88	$232.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.72 / $121.44 / $125.10	Facility		$60.72	$121.44	$125.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $58.29 / $125.10	Professional		$58.29	$58.29	$125.10
United Facility/Professional Professional Modifier Low / Median / High Price $60.58 / $67.09 / $111.81	Professional		$60.58	$67.09	$111.81