Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $56.23 / $56.23	Facility		$25.70	$56.23	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $19.95	Professional		$12.02	$12.88	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Facility		$11.22	$11.22	$11.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $21.88 / $51.29	Facility		$11.48	$21.88	$51.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.05 / $24.55	Professional		$18.20	$19.05	$24.55
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $10.23	Professional		$7.24	$7.24	$10.23