Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $33.92 / $33.92	Facility		$33.92	$33.92	$33.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $34.26 / $43.08	Professional		$33.92	$34.26	$43.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $33.92 / $33.92	Facility		$33.92	$33.92	$33.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $33.92	Professional		$33.92	$33.92	$33.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $55.29	Professional		$33.92	$33.92	$55.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $33.92 / $37.31	Facility		$33.92	$33.92	$37.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $40.70	Professional		$33.92	$33.92	$40.70
United Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $33.92	Professional		$33.92	$33.92	$33.92