Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $37.50 / $75.00	Facility		$18.75	$37.50	$75.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $30.00 / $86.75	Professional		$18.75	$30.00	$86.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $16.25 / $16.25	Facility		$16.25	$16.25	$16.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $13.15 / $32.34	Professional		$10.52	$13.15	$32.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $25.00 / $25.00	Professional		$13.75	$25.00	$25.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $19.36 / $30.00	Facility		$14.45	$19.36	$30.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $25.00 / $25.00	Professional		$10.52	$25.00	$25.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $8.67 / $25.00	Professional		$8.16	$8.67	$25.00