Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $55.98 / $55.98	Facility		$35.54	$55.98	$55.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $45.15 / $59.76	Professional		$35.54	$45.15	$59.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $35.54 / $35.54	Facility		$35.54	$35.54	$35.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $35.54	Professional		$35.54	$35.54	$35.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $15.89 / $15.89	Professional		$15.89	$15.89	$15.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.33 / $13.26 / $35.54	Facility		$11.33	$13.26	$35.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $35.54	Professional		$35.54	$35.54	$35.54
United Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $35.54	Professional		$35.54	$35.54	$35.54