Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $112.20 / $114.82	Facility		$52.48	$112.20	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $28.18 / $229.09	Professional		$1.35	$28.18	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $39.81	Professional		$31.62	$31.62	$39.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $75.86	Professional		$53.70	$53.70	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $45.71 / $102.33	Facility		$23.44	$45.71	$102.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $42.66 / $50.12	Professional		$31.62	$42.66	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $20.89	Professional		$14.79	$14.79	$20.89