Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.82 / $109.51	Professional		$17.78	$23.82	$109.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $30.30 / $30.30	Professional		$30.30	$30.30	$30.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $37.90 / $56.85	Professional		$30.32	$37.90	$56.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $19.60 / $29.86	Facility		$12.43	$19.60	$29.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $30.30 / $30.30	Professional		$30.30	$30.30	$30.30
United Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $18.94 / $29.01	Professional		$17.73	$18.94	$29.01