Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $25.98 / $30.38	Professional		$16.52	$25.98	$30.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $42.23 / $56.52	Professional		$15.65	$42.23	$56.52
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 $23.02 / $54.35 / $162.04	Facility		$23.02	$54.35	$162.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $43.33 / $58.41	Professional		$16.41	$43.33	$58.41
United Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $35.22 / $70.56	Professional		$23.90	$35.22	$70.56