Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $54.95 / $64.57	Professional		$28.84	$54.95	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Professional		$32.36	$32.36	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $95.50 / $128.82	Professional		$85.11	$95.50	$128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Facility		$50.12	$64.57	$85.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $50.12	Professional		$28.18	$33.11	$50.12