Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.01 / $26.01 / $52.02	Facility		$13.01	$26.01	$52.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $20.81 / $111.50	Professional		$13.01	$20.81	$111.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.27 / $11.27 / $11.27	Facility		$11.27	$11.27	$11.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $20.23 / $32.56	Professional		$10.91	$20.23	$32.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $9.53 / $9.53	Professional		$9.53	$9.53	$9.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.45 / $20.81 / $33.94	Facility		$15.45	$20.81	$33.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $17.34 / $32.56	Professional		$17.34	$17.34	$32.56
United Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $10.32 / $10.63	Professional		$7.28	$10.32	$10.63