Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.02 / $66.05 / $132.09	Facility		$33.02	$66.05	$132.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $52.84 / $283.11	Professional		$33.02	$52.84	$283.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.62 / $28.62 / $28.62	Facility		$28.62	$28.62	$28.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $34.04 / $62.98	Professional		$11.38	$34.04	$62.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $24.22 / $24.22	Professional		$24.22	$24.22	$24.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $31.54 / $48.43	Facility		$22.02	$31.54	$48.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.18 / $44.03 / $44.03	Professional		$19.18	$44.03	$44.03
United Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $11.08 / $26.42	Professional		$10.42	$11.08	$26.42