Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.93 / $23.85 / $47.70	Facility		$11.93	$23.85	$47.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $19.07 / $102.24	Professional		$11.93	$19.07	$102.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.34 / $10.34 / $10.34	Facility		$10.34	$10.34	$10.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $18.17 / $28.12	Professional		$9.35	$18.17	$28.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $8.75 / $8.75	Professional		$8.75	$8.75	$8.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $19.07 / $29.16	Facility		$13.28	$19.07	$29.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $15.90 / $28.12	Professional		$15.83	$15.90	$28.12
United Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $8.86 / $9.53	Professional		$6.68	$8.86	$9.53