Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.15 / $25.15 / $25.15	Facility		$25.15	$25.15	$25.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $38.61 / $190.26	Professional		$25.15	$38.61	$190.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.91 / $30.91 / $30.91	Facility		$30.91	$30.91	$30.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $30.91 / $30.91	Professional		$22.56	$30.91	$30.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $51.29 / $76.93	Professional		$41.03	$51.29	$76.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $15.93 / $38.54	Facility		$15.93	$15.93	$38.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $30.91 / $57.96	Professional		$22.56	$30.91	$57.96
United Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $24.67 / $37.17	Professional		$22.41	$24.67	$37.17