Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $64.01 / $64.01	Facility		$41.11	$64.01	$64.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $52.21 / $107.05	Professional		$41.11	$52.21	$107.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Facility		$41.11	$41.11	$41.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $41.11 / $42.58	Facility		$41.11	$41.11	$42.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11
United Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11