Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.24 / $26.24 / $26.24	Facility		$26.24	$26.24	$26.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $23.71 / $26.24	Professional		$14.26	$23.71	$26.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $35.42	Professional		$14.73	$14.73	$35.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.32 / $58.84 / $58.84	Professional		$43.32	$58.84	$58.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.13 / $36.10 / $62.10	Facility		$25.13	$36.10	$62.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $50.89	Professional		$14.73	$14.73	$50.89
United Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $15.80 / $26.05	Professional		$15.31	$15.80	$26.05