Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $83.18 / $83.18	Facility		$37.15	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $30.20	Professional		$16.98	$19.95	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $32.36 / $74.13	Facility		$16.60	$32.36	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $27.54 / $36.31	Professional		$25.12	$27.54	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $15.14	Professional		$10.47	$10.47	$15.14