Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.20 / $44.40 / $88.80	Facility		$22.20	$44.40	$88.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $35.52 / $35.52	Professional		$22.20	$35.52	$35.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.23 / $19.23 / $19.23	Facility		$19.23	$19.23	$19.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.88 / $48.25 / $48.25	Professional		$45.88	$48.25	$48.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.23 / $32.89 / $41.44	Facility		$19.23	$32.89	$41.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $35.82 / $41.14	Professional		$34.04	$35.82	$41.14
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $13.81 / $17.76	Professional		$12.43	$13.81	$17.76