Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.90 / $53.70	Professional		$30.90	$38.90	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $48.98 / $81.28	Facility		$33.11	$48.98	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $112.20	Professional		$37.15	$37.15	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $64.57 / $83.18	Professional		$42.66	$64.57	$83.18