Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $19.48	Facility		$19.48	$19.48	$19.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.67 / $24.74	Professional		$19.48	$19.67	$24.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $19.48	Facility		$19.48	$19.48	$19.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $19.48	Professional		$19.48	$19.48	$19.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $23.74 / $1,500.00	Professional		$20.65	$23.74	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $24.74	Facility		$19.48	$19.48	$24.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $37.50	Professional		$19.48	$19.48	$37.50
United Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $19.48	Professional		$19.48	$19.48	$19.48