Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.35 / $60.35 / $60.35	Facility		$60.35	$60.35	$60.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.73 / $60.35 / $105.80	Professional		$52.73	$60.35	$105.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $54.00 / $54.00	Facility		$54.00	$54.00	$54.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $54.00	Professional		$54.00	$54.00	$54.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $36.19 / $36.19	Professional		$36.19	$36.19	$36.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.28 / $36.36 / $54.00	Facility		$35.28	$36.36	$54.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $54.00	Professional		$54.00	$54.00	$54.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $52.94 / $52.94	Professional		$52.94	$52.94	$52.94