Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $40.74 / $52.48	Professional		$25.70	$40.74	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.70 / $25.70	Professional		$21.38	$25.70	$25.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $61.66 / $93.33	Professional		$60.26	$61.66	$93.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $56.23 / $85.11	Facility		$32.36	$56.23	$85.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.70 / $64.57	Professional		$21.38	$25.70	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $26.30 / $39.81	Professional		$24.55	$26.30	$39.81