Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.84 / $20.84 / $37.45	Facility		$20.84	$20.84	$37.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.84 / $37.45 / $141.78	Professional		$20.84	$37.45	$141.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $51.10 / $75.54	Professional		$31.45	$51.10	$75.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $42.52	Professional		$32.34	$32.34	$42.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.71 / $60.06 / $102.06	Facility		$25.71	$60.06	$102.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $51.67 / $75.54	Professional		$31.45	$51.67	$75.54
United Facility/Professional Professional Modifier Low / Median / High Price $34.32 / $59.21 / $79.20	Professional		$34.32	$59.21	$79.20