Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.11 / $32.22 / $64.44	Facility		$16.11	$32.22	$64.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $25.78 / $138.12	Professional		$16.11	$25.78	$138.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.96 / $13.96 / $13.96	Facility		$13.96	$13.96	$13.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $24.37 / $40.45	Professional		$13.56	$24.37	$40.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $11.81 / $11.81	Professional		$11.81	$11.81	$11.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.13 / $25.78 / $42.01	Facility		$19.13	$25.78	$42.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $40.45	Professional		$21.48	$21.48	$40.45
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $12.70 / $13.18	Professional		$9.02	$12.70	$13.18