Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $67.48 / $67.48	Facility		$43.19	$67.48	$67.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $54.85 / $113.66	Professional		$43.19	$54.85	$113.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $43.19 / $43.19	Facility		$43.19	$43.19	$43.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $43.19	Professional		$43.19	$43.19	$43.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.77 / $42.77 / $42.77	Professional		$42.77	$42.77	$42.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $41.94 / $43.19	Facility		$39.65	$41.94	$43.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $43.19	Professional		$43.19	$43.19	$43.19
United Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $43.19	Professional		$43.19	$43.19	$43.19