Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.91 / $28.18	Professional		$15.85	$22.91	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $85.11	Professional		$50.12	$60.26	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $25.70 / $46.77	Facility		$17.38	$25.70	$46.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $5,011.87 / $19,498.45	Facility		$758.58	$5,011.87	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.31 / $50.12	Professional		$25.12	$36.31	$50.12