Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.23 / $22.23 / $22.23	Facility		$22.23	$22.23	$22.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $29.38 / $33.40	Professional		$22.23	$29.38	$33.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.19 / $33.19 / $33.19	Facility		$33.19	$33.19	$33.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.37 / $41.41 / $51.01	Professional		$29.37	$41.41	$51.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $1,500.00	Professional		$50.00	$70.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.90 / $30.98 / $66.78	Facility		$22.90	$30.98	$66.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $41.41 / $48.58	Professional		$29.94	$41.41	$48.58
United Facility/Professional Professional Modifier Low / Median / High Price $28.86 / $42.90 / $56.81	Professional		$28.86	$42.90	$56.81