Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $40.74 / $7,762.47	Facility		$35.48	$40.74	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $79.43	Professional		$21.88	$25.70	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $53.70	Professional		$30.90	$41.69	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $36.31	Professional		$23.99	$33.11	$36.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $41.69 / $67.61	Facility		$30.90	$41.69	$67.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $53.70	Professional		$29.51	$41.69	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,096.48 / $1,412.54	Facility		$229.09	$1,096.48	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $40.74 / $60.26	Professional		$30.90	$40.74	$60.26