Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $52.66 / $154.29	Facility		$42.13	$52.66	$154.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $46.34	Professional		$42.13	$42.13	$46.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $59.10 / $73.88	Professional		$59.10	$59.10	$73.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $28.29 / $51.43	Professional		$28.29	$28.29	$51.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Facility		$42.13	$42.13	$42.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $42.13 / $42.13	Professional		$34.54	$42.13	$42.13
United Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $17.73 / $25.33	Professional		$16.72	$17.73	$25.33