Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.35 / $18.35 / $18.35	Facility		$18.35	$18.35	$18.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $23.51 / $112.78	Professional		$18.35	$23.51	$112.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $27.30 / $27.30	Facility		$27.30	$27.30	$27.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $27.30 / $29.21	Professional		$27.30	$27.30	$29.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $18.69 / $44.68	Professional		$3.79	$18.69	$44.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.61 / $22.13 / $30.47	Facility		$14.61	$22.13	$30.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $27.30 / $29.21	Professional		$27.30	$27.30	$29.21
United Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $19.54 / $29.38	Professional		$17.62	$19.54	$29.38