Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.16 / $30.16 / $30.16	Facility		$30.16	$30.16	$30.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $30.48 / $37.13	Professional		$15.60	$30.48	$37.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.45 / $25.72 / $34.18	Professional		$20.45	$25.72	$34.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $60.00 / $85.00	Professional		$43.93	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $30.80 / $39.21	Facility		$15.60	$30.80	$39.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $32.40 / $55.80	Professional		$24.30	$32.40	$55.80
United Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $48.35 / $73.47	Professional		$36.28	$48.35	$73.47