Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $16.64 / $16.64	Facility		$16.64	$16.64	$16.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $14.55 / $16.64	Professional		$14.20	$14.55	$16.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.05 / $62.05 / $62.05	Facility		$62.05	$62.05	$62.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $62.05 / $62.05	Professional		$62.05	$62.05	$62.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $88.78 / $1,500.00	Professional		$65.77	$88.78	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.20 / $33.82 / $37.69	Facility		$14.20	$33.82	$37.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $62.05 / $70.25	Professional		$62.05	$62.05	$70.25
United Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $62.05 / $62.05	Professional		$62.05	$62.05	$62.05