Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $52.85 / $126.84	Facility		$42.28	$52.85	$126.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Professional		$42.28	$42.28	$42.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.57 / $48.57 / $60.71	Professional		$48.57	$48.57	$60.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.25 / $23.25 / $42.28	Professional		$23.25	$23.25	$42.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Facility		$42.28	$42.28	$42.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.28 / $42.28	Professional		$34.67	$42.28	$42.28
United Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $17.72 / $25.33	Professional		$16.70	$17.72	$25.33