Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.67 / $25.67 / $25.67	Facility		$25.67	$25.67	$25.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $22.43 / $25.67	Professional		$22.43	$22.43	$25.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $22.97 / $22.97	Facility		$22.97	$22.97	$22.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $22.97 / $22.97	Professional		$22.97	$22.97	$22.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $20.50 / $20.50	Professional		$20.50	$20.50	$20.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.33 / $19.89 / $22.97	Facility		$8.33	$19.89	$22.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $22.97 / $22.97	Professional		$22.97	$22.97	$22.97
United Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $22.52 / $22.52	Professional		$22.52	$22.52	$22.52