Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.45 / $48.45 / $48.45	Facility		$48.45	$48.45	$48.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $39.09	Professional		$30.78	$30.78	$39.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $30.78 / $37.99	Facility		$30.78	$30.78	$37.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $30.78	Professional		$30.78	$30.78	$30.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $43.14 / $55.93	Professional		$31.96	$43.14	$55.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $30.78 / $39.09	Facility		$30.78	$30.78	$39.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $38.33	Professional		$30.78	$30.78	$38.33
United Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $32.63	Professional		$30.78	$30.78	$32.63