Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.58 / $39.58 / $39.58	Facility		$39.58	$39.58	$39.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.58 / $34.58 / $39.58	Professional		$34.58	$34.58	$39.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Facility		$35.40	$35.40	$35.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Professional		$35.40	$35.40	$35.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $35.29 / $35.29	Professional		$35.29	$35.29	$35.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $32.81 / $35.40	Facility		$3.80	$32.81	$35.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Professional		$35.40	$35.40	$35.40
United Facility/Professional Facility Modifier Low / Median / High Price $53.03 / $53.03 / $53.03	Facility		$53.03	$53.03	$53.03
United Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $34.72 / $34.72	Professional		$34.72	$34.72	$34.72