Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.84 / $32.84 / $32.84	Facility		$32.84	$32.84	$32.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $32.04 / $123.29	Professional		$27.16	$32.04	$123.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $28.50 / $28.50	Facility		$28.50	$28.50	$28.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $28.50 / $31.98	Professional		$20.81	$28.50	$31.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.20 / $45.26 / $67.89	Professional		$36.20	$45.26	$67.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $11.45 / $29.69	Facility		$11.45	$11.45	$29.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $28.50 / $53.10	Professional		$20.81	$28.50	$53.10
United Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $19.19 / $31.10	Professional		$17.37	$19.19	$31.10