Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.74 / $32.74 / $32.74	Facility		$32.74	$32.74	$32.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $32.74 / $32.74	Professional		$23.90	$32.74	$32.74
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 $25.00 / $25.00 / $32.74	Facility		$25.00	$25.00	$32.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $32.74 / $32.74	Professional		$23.90	$32.74	$32.74