Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $154.88 / $154.88	Facility		$70.79	$154.88	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $56.23	Professional		$32.36	$38.02	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $100.00	Professional		$72.44	$72.44	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $58.88 / $138.04	Facility		$31.62	$58.88	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $51.29 / $67.61	Professional		$50.12	$51.29	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $28.18	Professional		$19.95	$19.95	$28.18