Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $44.46 / $44.46	Facility		$28.68	$44.46	$44.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $36.42 / $62.36	Professional		$28.68	$36.42	$62.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $28.68 / $28.68	Facility		$28.68	$28.68	$28.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $28.68	Professional		$28.68	$28.68	$28.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $25.53 / $25.53	Professional		$25.53	$25.53	$25.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.46 / $28.68 / $28.68	Facility		$28.46	$28.68	$28.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $28.68	Professional		$28.68	$28.68	$28.68
United Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $28.68	Professional		$28.68	$28.68	$28.68