Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $43.65 / $91.20	Professional		$34.67	$43.65	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $75.86	Professional		$25.12	$25.12	$75.86
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 $42.66 / $72.44 / $147.91	Facility		$42.66	$72.44	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $67.61	Professional		$25.70	$25.70	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $27.54 / $43.65	Professional		$25.70	$27.54	$43.65