Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $83.18 / $83.18	Facility		$38.02	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.89 / $30.20	Professional		$16.98	$20.89	$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 $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $25.12 / $38.02	Facility		$16.22	$25.12	$38.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
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 / $11.75 / $11.75	Professional		$10.47	$11.75	$11.75