Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.25 / $58.50 / $117.00	Facility		$29.25	$58.50	$117.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $46.80 / $250.77	Professional		$29.25	$46.80	$250.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.35 / $25.35 / $25.35	Facility		$25.35	$25.35	$25.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $37.00 / $56.27	Professional		$12.31	$37.00	$56.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $21.45 / $21.45	Professional		$21.45	$21.45	$21.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.46 / $34.24 / $42.90	Facility		$17.46	$34.24	$42.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $39.00 / $39.00	Professional		$20.83	$39.00	$39.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $12.02 / $23.40	Professional		$11.32	$12.02	$23.40