Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $62.31 / $73.41	Professional		$28.73	$62.31	$73.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $30.18 / $30.18	Professional		$30.18	$30.18	$30.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $136.66 / $136.66	Professional		$95.00	$136.66	$136.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.45 / $62.94 / $71.26	Facility		$53.45	$62.94	$71.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $30.18 / $62.31	Professional		$30.18	$30.18	$62.31
United Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $31.37 / $47.25	Professional		$29.00	$31.37	$47.25