Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.30 / $60.30 / $60.30	Facility		$60.30	$60.30	$60.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.68 / $52.68 / $60.30	Professional		$52.68	$52.68	$60.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Facility		$53.95	$53.95	$53.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Professional		$53.95	$53.95	$53.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.03 / $48.03 / $48.03	Professional		$48.03	$48.03	$48.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.87 / $41.67 / $53.95	Facility		$25.87	$41.67	$53.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Professional		$53.95	$53.95	$53.95
United Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $52.89 / $52.89	Professional		$52.89	$52.89	$52.89