Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.71 / $37.71 / $46.23	Facility		$37.71	$37.71	$46.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $36.97 / $37.71	Professional		$16.00	$36.97	$37.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $107.43 / $107.43	Professional		$107.43	$107.43	$107.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $1,500.00	Professional		$50.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $23.56 / $31.43	Facility		$11.22	$23.56	$31.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $40.50 / $40.50	Professional		$40.50	$40.50	$40.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $7.56 / $21.34	Professional		$6.71	$7.56	$21.34