Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $67.43 / $70.06	Professional		$42.78	$67.43	$70.06
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $21.39 / $33.72 / $35.04	Professional	52	$21.39	$33.72	$35.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $56.10 / $85.60	Professional		$32.44	$56.10	$85.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $60.55	Professional		$32.34	$32.34	$60.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $44.31 / $62.69	Facility		$34.61	$44.31	$62.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $57.35 / $92.93	Professional		$37.40	$57.35	$92.93
United Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $63.84 / $84.42	Professional		$42.12	$63.84	$84.42