Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $33.11	Professional		$25.70	$25.70	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $34.67 / $64.57	Professional		$30.20	$34.67	$64.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $29.51 / $125.89	Facility		$12.30	$29.51	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $125.89 / $125.89	Professional		$40.74	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $67.61 / $125.89	Professional		$23.44	$67.61	$125.89