Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $33.85 / $108.93	Professional		$22.45	$33.85	$108.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $53.79 / $118.63	Professional		$19.75	$53.79	$118.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $118.66	Professional		$32.34	$32.34	$118.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.28 / $53.97 / $91.16	Facility		$23.28	$53.97	$91.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $53.79 / $118.63	Professional		$19.75	$53.79	$118.63
United Facility/Professional Professional Modifier Low / Median / High Price $60.64 / $86.89 / $133.19	Professional		$60.64	$86.89	$133.19