Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.39 / $48.39 / $52.85	Facility		$48.39	$48.39	$52.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $41.77 / $48.39	Professional		$40.75	$41.77	$48.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.87 / $28.87 / $43.30	Facility		$28.87	$28.87	$43.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $28.87 / $28.87	Professional		$28.87	$28.87	$28.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.96 / $47.25 / $1,500.00	Professional		$42.96	$47.25	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.05 / $42.28 / $50.22	Facility		$31.05	$42.28	$50.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $28.87 / $28.87	Professional		$28.87	$28.87	$28.87
United Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $40.53 / $42.96	Professional		$40.53	$40.53	$42.96