Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.04 / $35.04 / $35.04	Facility		$35.04	$35.04	$35.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $47.85 / $183.32	Professional		$28.62	$47.85	$183.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.78 / $29.78 / $29.78	Facility		$29.78	$29.78	$29.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $29.77 / $29.78	Professional		$21.74	$29.77	$29.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.83 / $63.54 / $95.31	Professional		$50.83	$63.54	$95.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.35 / $15.35 / $47.75	Facility		$15.35	$15.35	$47.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $29.78 / $66.55	Professional		$21.74	$29.78	$66.55
United Facility/Professional Professional Modifier Low / Median / High Price $21.49 / $23.77 / $36.64	Professional		$21.49	$23.77	$36.64