Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.18 / $24.18 / $24.18	Facility		$24.18	$24.18	$24.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $37.13 / $138.13	Professional		$24.18	$37.13	$138.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $27.38 / $27.38	Facility		$27.38	$27.38	$27.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $27.38 / $27.38	Professional		$19.98	$27.38	$27.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $49.32 / $73.98	Professional		$39.45	$49.32	$73.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.11 / $14.11 / $37.07	Facility		$14.11	$14.11	$37.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $27.38 / $56.10	Professional		$19.98	$27.38	$56.10
United Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $21.86 / $32.93	Professional		$19.85	$21.86	$32.93