Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.13 / $28.13 / $28.13	Facility		$28.13	$28.13	$28.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.18 / $40.53 / $40.53	Professional		$19.18	$40.53	$40.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.68 / $49.68 / $49.68	Facility		$49.68	$49.68	$49.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $49.68 / $61.22	Professional		$36.27	$49.68	$61.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.22 / $25.22 / $73.51	Facility		$25.22	$25.22	$73.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $49.68 / $49.68	Professional		$36.27	$49.68	$49.68
United Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $32.92 / $56.62	Professional		$30.91	$32.92	$56.62