Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.80 / $22.80 / $42.79	Facility		$22.80	$22.80	$42.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $23.41 / $34.22	Professional		$17.60	$23.41	$34.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.69 / $20.69 / $33.92	Facility		$20.69	$20.69	$33.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $27.93 / $37.04	Professional		$12.84	$27.93	$37.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $1,500.00	Professional		$60.00	$60.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.12 / $23.11 / $34.22	Facility		$11.12	$23.11	$34.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $28.53 / $37.04	Professional		$14.69	$28.53	$37.04
United Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $9.27 / $13.79	Professional		$8.48	$9.27	$13.79