Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.67 / $31.67 / $31.67	Facility		$31.67	$31.67	$31.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.67 / $48.63 / $207.44	Professional		$31.67	$48.63	$207.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.77 / $40.77 / $40.77	Facility		$40.77	$40.77	$40.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $29.76 / $77.51	Professional		$29.76	$29.76	$77.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $64.58 / $96.87	Professional		$51.66	$64.58	$96.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $20.07 / $48.53	Facility		$20.07	$20.07	$48.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $40.77 / $83.11	Professional		$29.76	$40.77	$83.11
United Facility/Professional Professional Modifier Low / Median / High Price $28.24 / $31.10 / $46.86	Professional		$28.24	$31.10	$46.86