Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.62 / $19.62 / $19.62	Facility		$19.62	$19.62	$19.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $28.27 / $37.04	Professional		$13.37	$28.27	$37.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.06 / $30.06 / $30.06	Facility		$30.06	$30.06	$30.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $30.06 / $42.53	Professional		$21.94	$30.06	$42.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $80.73 / $121.09	Professional		$60.00	$80.73	$121.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $17.55 / $51.14	Facility		$17.55	$17.55	$51.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $30.06 / $30.06	Professional		$21.94	$30.06	$30.06
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $22.95 / $39.31	Professional		$21.55	$22.95	$39.31