Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $109.65 / $112.20	Facility		$51.29	$109.65	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $56.23	Professional		$22.91	$30.90	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $38.90 / $63.10	Professional		$21.38	$38.90	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $40.74 / $58.88	Facility		$21.88	$40.74	$58.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $52.48 / $85.11	Professional		$21.38	$52.48	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $30.90 / $30.90	Facility		$25.12	$30.90	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.95 / $20.89	Professional		$14.13	$19.95	$20.89