Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.41 / $50.41 / $50.41	Facility		$50.41	$50.41	$50.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $47.06 / $77.50	Professional		$40.70	$47.06	$77.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.92 / $74.23 / $90.24	Professional		$56.92	$74.23	$90.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $73.45 / $397.32	Professional		$73.45	$73.45	$397.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.92 / $67.80 / $76.84	Facility		$56.92	$67.80	$76.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.79 / $74.23 / $90.24	Professional		$56.79	$74.23	$90.24
United Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,327.00 / $1,327.00	Facility		$775.00	$1,327.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.36 / $80.29 / $108.23	Professional		$64.36	$80.29	$108.23