Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.25 / $42.25 / $42.25	Facility		$42.25	$42.25	$42.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.88 / $57.68 / $214.55	Professional		$40.88	$57.68	$214.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.76 / $43.76 / $43.76	Facility		$43.76	$43.76	$43.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $37.20 / $93.81	Professional		$37.20	$37.20	$93.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $76.61 / $114.91	Professional		$61.28	$76.61	$114.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.92 / $21.92 / $57.57	Facility		$21.92	$21.92	$57.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $43.76 / $89.22	Professional		$37.20	$43.76	$89.22
United Facility/Professional Professional Modifier Low / Median / High Price $31.40 / $33.96 / $51.17	Professional		$31.40	$33.96	$51.17