Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.01 / $37.01 / $37.01	Facility		$37.01	$37.01	$37.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.01 / $56.84 / $211.43	Professional		$37.01	$56.84	$211.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $41.91 / $41.91	Facility		$41.91	$41.91	$41.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $41.91 / $41.91	Professional		$30.59	$41.91	$41.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.38 / $75.48 / $113.22	Professional		$60.38	$75.48	$113.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.60 / $21.60 / $56.72	Facility		$21.60	$21.60	$56.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $41.91 / $85.86	Professional		$30.59	$41.91	$85.86
United Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $33.46 / $50.41	Professional		$30.38	$33.46	$50.41