Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.03 / $34.03 / $34.03	Facility		$34.03	$34.03	$34.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $34.03 / $56.75	Professional		$21.71	$34.03	$56.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.89 / $48.89 / $58.58	Professional		$48.89	$48.89	$58.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.67 / $60.00 / $85.00	Professional		$45.67	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $31.83 / $35.74	Facility		$18.44	$31.83	$35.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $47.08 / $59.53	Professional		$33.63	$47.08	$59.53
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 $35.49 / $44.83 / $61.23	Professional		$35.49	$44.83	$61.23