Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.38 / $52.38 / $52.38	Facility		$52.38	$52.38	$52.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $52.38 / $79.98	Professional		$45.77	$52.38	$79.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.87 / $46.87 / $46.87	Facility		$46.87	$46.87	$46.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $46.87 / $46.87	Professional		$46.87	$46.87	$46.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $21.98 / $21.98	Professional		$21.98	$21.98	$21.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.50 / $11.48 / $46.87	Facility		$8.50	$11.48	$46.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $46.87 / $46.87	Professional		$46.87	$46.87	$46.87
United Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $45.95 / $45.95	Professional		$45.95	$45.95	$45.95