Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $19.32	Professional		$19.32	$19.32	$19.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $70.00 / $1,500.00	Professional		$45.00	$70.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $30.00	Professional		$19.32	$19.32	$30.00