Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $79.43	Professional		$64.57	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $3,467.37	Professional		$60.26	$60.26	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $79.43 / $89.13	Facility		$56.23	$79.43	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $30.20 / $112.20	Professional		$16.98	$30.20	$112.20