Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.32 / $52.64 / $105.27	Facility		$26.32	$52.64	$105.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $42.11 / $42.11	Professional		$26.32	$42.11	$42.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.81 / $22.81 / $22.81	Facility		$22.81	$22.81	$22.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.39 / $57.20 / $57.20	Professional		$54.39	$57.20	$57.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.81 / $35.09 / $44.21	Facility		$22.81	$35.09	$44.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.02 / $42.11 / $48.78	Professional		$37.02	$42.11	$48.78
United Facility/Professional Facility Modifier Low / Median / High Price $31.58 / $31.58 / $31.58	Facility		$31.58	$31.58	$31.58
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $14.74 / $21.05	Professional		$14.74	$14.74	$21.05