Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $16.98	Facility		$16.60	$16.60	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $63.10	Professional		$10.00	$12.02	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.05 / $22.91	Professional		$14.13	$19.05	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $234.42	Professional		$50.12	$60.26	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $20.42 / $61.66	Facility		$12.59	$20.42	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $19.05 / $22.91	Professional		$13.80	$19.05	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,148.15 / $1,905.46	Facility		$229.09	$1,148.15	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.05 / $27.54	Professional		$14.45	$19.05	$27.54