Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.95 / $26.95 / $26.95	Facility		$26.95	$26.95	$26.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $28.50 / $42.00	Professional		$21.25	$28.50	$42.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $18.97 / $18.97	Professional		$18.97	$18.97	$18.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $1,500.00	Professional		$50.00	$60.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $26.95 / $42.00	Facility		$19.98	$26.95	$42.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $18.97 / $22.94	Professional		$18.97	$18.97	$22.94
United Facility/Professional Professional Modifier Low / Median / High Price $29.81 / $36.72 / $52.65	Professional		$29.81	$36.72	$52.65