Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $50.91 / $101.82	Facility		$25.46	$50.91	$101.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $40.72 / $218.23	Professional		$25.46	$40.72	$218.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.06 / $22.06 / $22.06	Facility		$22.06	$22.06	$22.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $39.24 / $63.63	Professional		$21.35	$39.24	$63.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.67 / $18.67 / $18.67	Professional		$18.67	$18.67	$18.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $40.72 / $66.40	Facility		$17.98	$40.72	$66.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $33.94 / $63.63	Professional		$33.94	$33.94	$63.63
United Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $20.36 / $20.82	Professional		$14.25	$20.36	$20.82