Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.42 / $40.42 / $40.42	Facility		$40.42	$40.42	$40.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $47.99 / $62.97	Professional		$40.42	$47.99	$62.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $44.04 / $44.44	Professional		$44.04	$44.04	$44.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $76.31	Professional		$32.34	$32.34	$76.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.79 / $46.19 / $64.86	Facility		$39.79	$46.19	$64.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $44.04 / $51.54	Professional		$44.04	$44.04	$51.54
United Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $79.05 / $111.19	Professional		$56.88	$79.05	$111.19