Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.93 / $57.85 / $115.71	Facility		$28.93	$57.85	$115.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.93 / $46.28 / $248.01	Professional		$28.93	$46.28	$248.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.07 / $25.07 / $25.07	Facility		$25.07	$25.07	$25.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $44.19 / $55.24	Professional		$8.41	$44.19	$55.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $21.21 / $21.21	Professional		$21.21	$21.21	$21.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $36.64 / $46.28	Facility		$12.19	$36.64	$46.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $26.64 / $38.57	Professional		$15.80	$26.64	$38.57
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $8.11 / $23.14	Professional		$8.11	$8.11	$23.14