Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.67 / $27.67 / $27.67	Facility		$27.67	$27.67	$27.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $25.01 / $27.67	Professional		$11.17	$25.01	$27.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $19.44 / $19.44	Professional		$19.44	$19.44	$19.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.07 / $41.87 / $62.05	Professional		$38.07	$41.87	$62.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.16 / $29.98 / $32.86	Facility		$23.16	$29.98	$32.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $19.44 / $45.68	Professional		$19.44	$19.44	$45.68
United Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $16.14 / $24.32	Professional		$14.93	$16.14	$24.32