Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $38.04 / $38.04	Facility		$38.04	$38.04	$38.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $41.70 / $59.06	Professional		$35.70	$41.70	$59.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $64.28 / $67.02	Professional		$64.28	$64.28	$67.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $108.90	Professional		$32.34	$32.34	$108.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $45.13 / $66.81	Facility		$38.04	$45.13	$66.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.40 / $64.28 / $67.02	Professional		$43.40	$64.28	$67.02
United Facility/Professional Professional Modifier Low / Median / High Price $64.36 / $77.20 / $100.64	Professional		$64.36	$77.20	$100.64