Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $45.60 / $45.60	Facility		$45.60	$45.60	$45.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.84 / $39.84 / $45.60	Professional		$39.84	$39.84	$45.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.40 / $42.40 / $42.40	Facility		$42.40	$42.40	$42.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $42.40 / $42.40	Professional		$42.40	$42.40	$42.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $45.76 / $45.76	Professional		$45.76	$45.76	$45.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.35 / $24.00 / $42.40	Facility		$10.35	$24.00	$42.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $42.40 / $42.40	Professional		$42.40	$42.40	$42.40
United Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00