Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.91 / $51.63 / $51.63	Facility		$12.91	$51.63	$51.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $20.65 / $20.65	Professional		$12.91	$20.65	$20.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.19 / $11.19 / $11.19	Facility		$11.19	$11.19	$11.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.68 / $28.05 / $28.05	Professional		$26.68	$28.05	$28.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.19 / $17.21 / $21.68	Facility		$11.19	$17.21	$21.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $20.82 / $23.92	Professional		$18.16	$20.82	$23.92
United Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $7.23 / $10.33	Professional		$7.23	$7.23	$10.33