Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $37.15	Professional		$28.84	$28.84	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $870.96 / $870.96	Professional		$295.12	$870.96	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $85.11 / $165.96	Professional		$33.11	$85.11	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $35.48 / $79.43	Facility		$29.51	$35.48	$79.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96