Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.02 / $43.02 / $43.02	Facility		$43.02	$43.02	$43.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.02 / $58.72 / $225.00	Professional		$43.02	$58.72	$225.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.73 / $48.73 / $48.73	Facility		$48.73	$48.73	$48.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $48.73 / $48.73	Professional		$35.57	$48.73	$48.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.38 / $77.98 / $116.97	Professional		$62.38	$77.98	$116.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.11 / $25.11 / $58.60	Facility		$25.11	$25.11	$58.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $48.73 / $91.38	Professional		$35.57	$48.73	$91.38
United Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $44.53 / $58.62	Professional		$35.97	$44.53	$58.62