Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $19.10 / $75.30	Professional		$19.10	$19.10	$75.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $7.97 / $7.97	Professional		$7.97	$7.97	$7.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $21.31 / $29.65	Professional		$17.76	$21.31	$29.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.42 / $16.23 / $20.82	Facility		$15.42	$16.23	$20.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $20.14 / $24.69	Professional		$7.97	$20.14	$24.69
United Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $6.73 / $9.07	Professional		$6.35	$6.73	$9.07