Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.44 / $3.44 / $3.44	Facility		$3.44	$3.44	$3.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.44 / $3.44	Professional		$3.44	$3.44	$3.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.56 / $119.56 / $119.56	Professional		$119.56	$119.56	$119.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $60.00 / $85.00	Professional		$45.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.92 / $2.92 / $2.92	Facility		$2.92	$2.92	$2.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.56 / $119.56 / $119.56	Professional		$119.56	$119.56	$119.56
United Facility/Professional Facility Modifier Low / Median / High Price $157.44 / $157.44 / $348.89	Facility		$157.44	$157.44	$348.89