Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $52.66 / $126.39	Facility		$42.13	$52.66	$126.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $48.40 / $60.50	Professional		$20.10	$48.40	$60.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $23.17 / $23.17	Professional		$23.17	$23.17	$23.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Facility		$42.13	$42.13	$42.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $42.13 / $42.13	Professional		$34.54	$42.13	$42.13
United Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $17.72 / $25.33	Professional		$16.70	$17.72	$25.33