Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $29.44 / $60.03	Professional		$19.95	$29.44	$60.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $31.01 / $64.25	Professional		$17.16	$31.01	$64.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.53 / $33.04 / $50.37	Facility		$19.53	$33.04	$50.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $31.07 / $64.25	Professional		$17.16	$31.07	$64.25
United Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $50.96 / $74.25	Professional		$37.44	$50.96	$74.25