Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.48 / $24.48 / $24.48	Facility		$24.48	$24.48	$24.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $22.12 / $24.48	Professional		$12.26	$22.12	$24.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $13.74 / $30.47	Professional		$13.74	$13.74	$30.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $54.90 / $54.90	Professional		$40.42	$54.90	$54.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $33.68 / $52.86	Facility		$23.44	$33.68	$52.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $13.74 / $47.48	Professional		$13.74	$13.74	$47.48
United Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $14.74 / $24.30	Professional		$14.28	$14.74	$24.30