Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $144.54	Professional		$14.13	$14.13	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $70.79	Professional		$44.67	$60.26	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $14.79 / $144.54	Facility		$12.59	$14.79	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $380.19 / $380.19	Facility		$169.82	$380.19	$380.19