Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $117.49 / $125.89	Facility		$52.48	$117.49	$125.89
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 $48.98 / $48.98 / $60.26	Professional		$48.98	$48.98	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $42.66	Professional		$23.44	$23.44	$42.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $46.77	Facility		$42.66	$42.66	$46.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $17.78 / $25.12	Professional		$16.60	$17.78	$25.12