Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.66 / $16.66 / $16.66	Facility		$16.66	$16.66	$16.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $24.00 / $24.00	Professional		$11.35	$24.00	$24.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.94 / $54.94 / $54.94	Facility		$54.94	$54.94	$54.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $54.94 / $54.94	Professional		$40.11	$54.94	$54.94
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 $15.04 / $15.04 / $54.94	Facility		$15.04	$15.04	$54.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $54.94 / $54.94	Professional		$40.11	$54.94	$54.94
United Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $19.48 / $33.54	Professional		$18.30	$19.48	$33.54