Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.18 / $40.74	Professional		$19.05	$28.18	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $40.74	Professional		$33.88	$33.88	$40.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $53.70 / $85.11	Professional		$28.84	$53.70	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $29.51 / $52.48	Facility		$15.85	$29.51	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $125.89 / $125.89	Facility		$56.23	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $42.66	Professional		$23.44	$33.11	$42.66