Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $27.09 / $54.18	Facility		$13.55	$27.09	$54.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $24.30 / $116.13	Professional		$13.55	$24.30	$116.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $11.74 / $11.74	Facility		$11.74	$11.74	$11.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $22.10 / $38.97	Professional		$13.09	$22.10	$38.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $9.93 / $9.93	Professional		$9.93	$9.93	$9.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $21.67 / $40.70	Facility		$11.74	$21.67	$40.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $38.97	Professional		$18.05	$18.05	$38.97
United Facility/Professional Facility Modifier Low / Median / High Price $17.44 / $25.52 / $35.36	Facility		$17.44	$25.52	$35.36
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $12.21 / $12.76	Professional		$7.59	$12.21	$12.76