Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.26 / $27.26 / $27.26	Facility		$27.26	$27.26	$27.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $23.81 / $27.26	Professional		$22.95	$23.81	$27.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.39 / $24.39 / $24.39	Facility		$24.39	$24.39	$24.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $24.39 / $24.39	Professional		$24.39	$24.39	$24.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.83 / $16.91 / $60.00	Professional		$11.83	$16.91	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $23.24 / $28.68	Facility		$16.91	$23.24	$28.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $24.39 / $35.85	Professional		$24.39	$24.39	$35.85
United Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $28.69	Professional		$28.69	$28.69	$28.69