Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $15.73 / $15.73	Facility		$15.73	$15.73	$15.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $22.67 / $22.67	Professional		$10.72	$22.67	$22.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.58 / $28.58 / $28.58	Facility		$28.58	$28.58	$28.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $28.58 / $34.19	Professional		$20.86	$28.58	$34.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $100.00 / $150.00	Professional		$60.00	$100.00	$150.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $14.10 / $41.03	Facility		$14.10	$14.10	$41.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $28.58 / $28.58	Professional		$20.86	$28.58	$28.58
United Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $18.41 / $31.38	Professional		$17.35	$18.41	$31.38