Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $114.82 / $114.82	Facility		$52.48	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $41.69	Professional		$23.99	$28.18	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $75.86	Professional		$54.95	$54.95	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $44.67 / $104.71	Facility		$23.44	$44.67	$104.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $38.90 / $50.12	Professional		$37.15	$38.90	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $20.89	Professional		$14.79	$14.79	$20.89