Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.58 / $50.58 / $50.58	Facility		$50.58	$50.58	$50.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $44.19 / $50.58	Professional		$42.59	$44.19	$50.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Facility		$45.25	$45.25	$45.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Professional		$45.25	$45.25	$45.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,500.00	Professional		$60.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.74 / $45.25 / $53.24	Facility		$36.74	$45.25	$53.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $45.25 / $45.25	Professional		$37.47	$45.25	$45.25
United Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $44.36 / $44.36	Professional		$44.36	$44.36	$44.36