Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.25 / $70.50 / $141.00	Facility		$35.25	$70.50	$141.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $56.40 / $56.40	Professional		$35.25	$56.40	$56.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.55 / $30.55 / $30.55	Facility		$30.55	$30.55	$30.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.84 / $76.61 / $76.61	Professional		$72.84	$76.61	$76.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.55 / $47.00 / $59.22	Facility		$30.55	$47.00	$59.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.59 / $56.40 / $65.33	Professional		$49.59	$56.40	$65.33
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $19.73 / $28.20	Professional		$19.73	$19.73	$28.20