Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $38.90 / $60.26	Professional		$16.98	$38.90	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $144.54	Professional		$17.38	$17.38	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $60.26 / $1,000.00	Professional		$32.36	$60.26	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $38.90 / $64.57	Facility		$17.38	$38.90	$64.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $162.18 / $162.18	Facility		$74.13	$162.18	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $41.69 / $75.86	Professional		$37.15	$41.69	$75.86