Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.29 / $41.29 / $41.29	Facility		$41.29	$41.29	$41.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.08 / $40.29 / $159.13	Professional		$33.08	$40.29	$159.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $45.89 / $69.56	Professional		$24.24	$45.89	$69.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $56.82 / $85.23	Professional		$45.45	$56.82	$85.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.27 / $16.27 / $42.71	Facility		$16.27	$16.27	$42.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $45.89 / $64.62	Professional		$24.24	$45.89	$64.62
United Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $25.19 / $37.95	Professional		$22.75	$25.19	$37.95