Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.89 / $30.89 / $30.89	Facility		$30.89	$30.89	$30.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.99 / $26.99 / $30.89	Professional		$26.99	$26.99	$30.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $27.64 / $27.64	Facility		$27.64	$27.64	$27.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $27.64 / $27.64	Professional		$27.64	$27.64	$27.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.29 / $24.29 / $24.29	Professional		$24.29	$24.29	$24.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.73 / $27.27 / $27.64	Facility		$22.73	$27.27	$27.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $27.64 / $27.64	Professional		$27.64	$27.64	$27.64
United Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $27.10 / $27.10	Professional		$27.10	$27.10	$27.10