Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $97.72 / $97.72	Facility		$44.67	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $34.67	Professional		$19.95	$23.99	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $41.69 / $87.10	Facility		$19.95	$41.69	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $34.67 / $42.66	Professional		$32.36	$34.67	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.80 / $17.78	Professional		$12.30	$13.80	$17.78