Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.94 / $39.88 / $79.73	Facility		$19.94	$39.88	$79.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $31.90 / $170.91	Professional		$19.94	$31.90	$170.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.28 / $17.28 / $17.28	Facility		$17.28	$17.28	$17.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $30.56 / $49.82	Professional		$16.67	$30.56	$49.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $14.62 / $14.62	Professional		$14.62	$14.62	$14.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.67 / $31.90 / $51.98	Facility		$23.67	$31.90	$51.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $26.58 / $49.82	Professional		$26.58	$26.58	$49.82
United Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $15.95 / $16.30	Professional		$11.16	$15.95	$16.30