Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $39.31 / $39.31	Facility		$39.31	$39.31	$39.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.71 / $49.93	Professional		$39.31	$39.71	$49.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $39.31 / $39.31	Facility		$39.31	$39.31	$39.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $39.31	Professional		$39.31	$39.31	$39.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.94 / $197.91 / $724.93	Professional		$131.94	$197.91	$724.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $39.31 / $49.93	Facility		$39.31	$39.31	$49.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $164.93	Professional		$39.31	$39.31	$164.93
United Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $39.31	Professional		$39.31	$39.31	$39.31