Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.14 / $37.14 / $37.14	Facility		$37.14	$37.14	$37.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.14 / $49.66 / $56.46	Professional		$37.14	$49.66	$56.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.80 / $55.80 / $55.80	Facility		$55.80	$55.80	$55.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $69.54 / $85.64	Professional		$49.35	$69.54	$85.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $67.60 / $1,500.00	Professional		$50.00	$67.60	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.35 / $48.09 / $56.46	Facility		$35.35	$48.09	$56.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $69.54 / $82.10	Professional		$50.40	$69.54	$82.10
United Facility/Professional Professional Modifier Low / Median / High Price $50.61 / $72.80 / $95.51	Professional		$50.61	$72.80	$95.51