Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $114.82 / $154.88	Facility		$52.48	$114.82	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $74.13	Professional		$58.88	$58.88	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $51.29	Professional		$28.18	$28.18	$51.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $42.66 / $56.23	Facility		$41.69	$42.66	$56.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $17.78 / $25.12	Professional		$16.60	$17.78	$25.12