Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.71 / $28.71 / $43.29	Facility		$28.71	$28.71	$43.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $39.84 / $70.19	Professional		$28.64	$39.84	$70.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $52.58 / $93.81	Professional		$35.93	$52.58	$93.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $32.34 / $61.65	Professional		$12.33	$32.34	$61.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.98 / $44.28 / $71.27	Facility		$24.98	$44.28	$71.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.58 / $55.61 / $97.92	Professional		$36.58	$55.61	$97.92
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $71.02 / $99.63	Professional		$51.25	$71.02	$99.63