Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.81 / $14.81 / $14.81	Facility		$14.81	$14.81	$14.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $21.33 / $21.33	Professional		$10.09	$21.33	$21.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.60 / $27.60 / $27.60	Facility		$27.60	$27.60	$27.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $27.60 / $31.99	Professional		$20.14	$27.60	$31.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $70.00	Professional		$50.00	$60.00	$70.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.16 / $13.16 / $38.35	Facility		$13.16	$13.16	$38.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $27.60 / $27.60	Professional		$20.14	$27.60	$27.60
United Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $17.32 / $29.57	Professional		$16.27	$17.32	$29.57