Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $37.15 / $37.15	Professional		$19.20	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $19.36 / $19.36	Professional		$19.36	$19.36	$19.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,500.00	Professional		$60.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.04 / $31.04 / $87.46	Facility		$31.04	$31.04	$87.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $19.36 / $19.36	Professional		$19.36	$19.36	$19.36