Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.70 / $42.70 / $42.70	Facility		$42.70	$42.70	$42.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $37.29 / $42.70	Professional		$35.96	$37.29	$42.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.94 / $44.94 / $44.94	Facility		$44.94	$44.94	$44.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $44.94 / $44.94	Professional		$44.94	$44.94	$44.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $44.94 / $73.25	Professional		$44.94	$44.94	$73.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.00 / $40.21 / $44.94	Facility		$33.00	$40.21	$44.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $44.94 / $44.94	Professional		$44.94	$44.94	$44.94
United Facility/Professional Professional Modifier Low / Median / High Price $50.94 / $50.94 / $50.94	Professional		$50.94	$50.94	$50.94