Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.67 / $28.67 / $46.56	Facility		$28.67	$28.67	$46.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.67 / $46.56 / $67.84	Professional		$28.67	$46.56	$67.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $64.00 / $102.62	Professional		$40.22	$64.00	$102.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $83.88	Professional		$32.34	$32.34	$83.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.53 / $46.76 / $59.23	Facility		$33.53	$46.76	$59.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $65.34 / $104.93	Professional		$40.22	$65.34	$104.93
United Facility/Professional Professional Modifier Low / Median / High Price $54.74 / $77.48 / $123.25	Professional		$54.74	$77.48	$123.25