Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $30.98 / $61.95	Facility		$15.49	$30.98	$61.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $24.78 / $132.78	Professional		$15.49	$24.78	$132.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.42 / $13.42 / $13.42	Facility		$13.42	$13.42	$13.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.93 / $23.95 / $38.97	Professional		$12.93	$23.95	$38.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $11.36	Professional		$11.36	$11.36	$11.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $24.78 / $40.39	Facility		$18.39	$24.78	$40.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $20.65 / $38.97	Professional		$20.65	$20.65	$38.97
United Facility/Professional Facility Modifier Low / Median / High Price $20.65 / $20.65 / $20.65	Facility		$20.65	$20.65	$20.65
United Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $12.29 / $12.66	Professional		$8.67	$12.29	$12.66