Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.53 / $20.53 / $25.13	Facility		$20.53	$20.53	$25.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $20.53 / $30.45	Professional		$20.10	$20.53	$30.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.79 / $73.79 / $73.79	Professional		$73.79	$73.79	$73.79
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 $17.07 / $19.00 / $30.45	Facility		$17.07	$19.00	$30.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $93.00 / $93.00	Professional		$93.00	$93.00	$93.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $23.87 / $49.76	Professional		$22.05	$23.87	$49.76