Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.84 / $44.84 / $44.84	Facility		$44.84	$44.84	$44.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $39.18 / $44.84	Professional		$37.76	$39.18	$44.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Facility		$40.11	$40.11	$40.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Professional		$40.11	$40.11	$40.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $1,500.00	Professional		$60.00	$60.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.57 / $40.11 / $47.20	Facility		$32.57	$40.11	$47.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $40.11 / $40.11	Professional		$7.63	$40.11	$40.11
United Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $39.33 / $39.33	Professional		$39.33	$39.33	$39.33