Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $37.90 / $37.90	Facility		$37.90	$37.90	$37.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.30 / $37.00 / $150.49	Professional		$31.30	$37.00	$150.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.45 / $34.45 / $34.45	Facility		$34.45	$34.45	$34.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $34.45 / $36.86	Professional		$21.28	$34.45	$36.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.72 / $52.16 / $78.23	Professional		$41.72	$52.16	$78.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.28 / $14.28 / $39.20	Facility		$14.28	$14.28	$39.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $34.45 / $45.68	Professional		$21.28	$34.45	$45.68
United Facility/Professional Professional Modifier Low / Median / High Price $20.27 / $22.12 / $33.32	Professional		$20.27	$22.12	$33.32