Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.45 / $60.45 / $60.45	Facility		$60.45	$60.45	$60.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.46 / $60.45 / $106.32	Professional		$38.46	$60.45	$106.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.02 / $93.02 / $111.44	Professional		$93.02	$93.02	$111.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $83.81 / $85.00	Professional		$50.00	$83.81	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.23 / $57.74 / $63.49	Facility		$28.23	$57.74	$63.49
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $5,089.00 / $17,636.00	Facility		$3,085.00	$5,089.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.19 / $70.48 / $93.60	Professional		$57.19	$70.48	$93.60