Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.75 / $34.75 / $34.75	Facility		$34.75	$34.75	$34.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.75 / $53.36 / $198.48	Professional		$34.75	$53.36	$198.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.35 / $39.35 / $39.35	Facility		$39.35	$39.35	$39.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $39.34 / $39.35	Professional		$28.73	$39.34	$39.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.68 / $70.86 / $106.29	Professional		$56.68	$70.86	$106.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.28 / $20.28 / $53.25	Facility		$20.28	$20.28	$53.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $39.35 / $80.59	Professional		$28.73	$39.35	$80.59
United Facility/Professional Professional Modifier Low / Median / High Price $28.53 / $31.42 / $47.33	Professional		$28.53	$31.42	$47.33