Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $134.90	Professional		$85.11	$117.49	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $199.53	Professional		$95.50	$95.50	$199.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $134.90 / $446.68	Facility		$109.65	$134.90	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $112.20	Professional		$57.54	$67.61	$112.20