Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.32 / $43.32 / $47.31	Facility		$43.32	$43.32	$47.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $37.85 / $43.32	Professional		$36.47	$37.85	$43.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.76 / $38.76 / $40.28	Facility		$38.76	$38.76	$40.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $38.76 / $38.76	Professional		$38.76	$38.76	$38.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $54.37 / $70.48	Professional		$40.28	$54.37	$70.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.47 / $40.28 / $47.50	Facility		$36.47	$40.28	$47.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $38.76 / $50.35	Professional		$38.76	$38.76	$50.35
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $38.00 / $40.28	Professional		$38.00	$38.00	$40.28