Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $154.88 / $154.88	Facility		$58.88	$154.88	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $50.12	Professional		$33.88	$39.81	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $1,000.00	Professional		$50.12	$70.79	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $47.86 / $79.43	Facility		$35.48	$47.86	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.20 / $75.86	Professional		$26.92	$30.20	$75.86