Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.25 / $19.25 / $19.25	Facility		$19.25	$19.25	$19.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $27.73 / $27.73	Professional		$13.12	$27.73	$27.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.29 / $30.29 / $30.29	Facility		$30.29	$30.29	$30.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $30.29 / $41.90	Professional		$22.11	$30.29	$41.90
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 $17.23 / $17.23 / $50.22	Facility		$17.23	$17.23	$50.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $30.29 / $30.29	Professional		$22.11	$30.29	$30.29
United Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $22.52 / $38.59	Professional		$21.14	$22.52	$38.59