Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $19.57 / $19.57	Facility		$19.57	$19.57	$19.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $19.57 / $24.91	Professional		$19.57	$19.57	$24.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.72 / $23.72 / $23.72	Facility		$23.72	$23.72	$23.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $23.72 / $23.72	Professional		$17.32	$23.72	$23.72
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 $19.57 / $19.57 / $24.00	Facility		$19.57	$19.57	$24.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $23.72 / $23.72	Professional		$17.32	$23.72	$23.72