Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.65 / $35.65 / $35.65	Facility		$35.65	$35.65	$35.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.70 / $48.66 / $222.22	Professional		$34.70	$48.66	$222.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $37.36 / $37.36	Facility		$37.36	$37.36	$37.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $37.36 / $37.36	Professional		$27.27	$37.36	$37.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $64.61 / $96.91	Professional		$51.68	$64.61	$96.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.60 / $18.60 / $48.55	Facility		$18.60	$18.60	$48.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $37.36 / $80.65	Professional		$27.27	$37.36	$80.65
United Facility/Professional Professional Modifier Low / Median / High Price $26.65 / $32.99 / $44.41	Professional		$26.65	$32.99	$44.41