Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $38.70 / $77.40	Facility		$19.35	$38.70	$77.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $30.96 / $165.89	Professional		$19.35	$30.96	$165.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $16.77 / $16.77	Facility		$16.77	$16.77	$16.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.21 / $29.74 / $48.34	Professional		$16.21	$29.74	$48.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $14.19 / $14.19	Professional		$14.19	$14.19	$14.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $30.96 / $50.47	Facility		$22.02	$30.96	$50.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $25.80 / $48.34	Professional		$25.80	$25.80	$48.34
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $15.35 / $15.82	Professional		$10.84	$15.35	$15.82