Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.58 / $53.58 / $53.58	Facility		$53.58	$53.58	$53.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $48.42 / $53.58	Professional		$30.97	$48.42	$53.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $76.94	Professional		$30.08	$30.08	$76.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.48 / $120.18 / $120.18	Professional		$88.48	$120.18	$120.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.33 / $73.73 / $133.81	Facility		$51.33	$73.73	$133.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $103.93	Professional		$30.08	$30.08	$103.93
United Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $32.27 / $53.19	Professional		$31.27	$32.27	$53.19