Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.44 / $41.44 / $49.81	Facility		$41.44	$41.44	$49.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.85 / $39.85 / $41.44	Professional		$39.85	$39.85	$41.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.76 / $103.76 / $103.76	Facility		$103.76	$103.76	$103.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.24 / $60.00 / $96.73	Professional		$49.24	$60.00	$96.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.76 / $103.76 / $103.76	Facility		$103.76	$103.76	$103.76
United Facility/Professional Professional Modifier Low / Median / High Price $42.53 / $47.38 / $87.96	Professional		$42.53	$47.38	$87.96