Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $39.81 / $48.98	Professional		$38.90	$39.81	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $25.70	Facility		$21.88	$21.88	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $25.70	Professional		$21.88	$21.88	$25.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $33.11	Professional		$27.54	$27.54	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $41.69 / $51.29	Facility		$21.88	$41.69	$51.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $0.07 / $28.84	Facility		$0.07	$0.07	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79