Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $87.10 / $89.13	Facility		$40.74	$87.10	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $32.36	Professional		$18.20	$25.12	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $31.62 / $38.90	Professional		$10.72	$31.62	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $25.70 / $32.36	Facility		$12.30	$25.70	$32.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $26.92 / $36.31	Professional		$12.30	$26.92	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $24.55 / $24.55	Facility		$12.88	$24.55	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $16.22	Professional		$10.23	$10.23	$16.22