Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.33 / $38.33 / $159.06	Professional		$38.33	$38.33	$159.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $16.80 / $16.80	Professional		$16.80	$16.80	$16.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $38.32 / $52.06	Professional		$31.94	$38.32	$52.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.66 / $21.07 / $40.24	Facility		$15.66	$21.07	$40.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $38.33 / $44.40	Professional		$16.80	$38.33	$44.40
United Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $13.41 / $19.16	Professional		$8.98	$13.41	$19.16