Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.33 / $26.65 / $53.31	Facility		$13.33	$26.65	$53.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $21.32 / $114.26	Professional		$13.33	$21.32	$114.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $11.55 / $11.55	Facility		$11.55	$11.55	$11.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $20.65 / $28.12	Professional		$9.51	$20.65	$28.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $21.06 / $29.48	Facility		$13.43	$21.06	$29.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $17.77 / $28.12	Professional		$16.01	$17.77	$28.12
United Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $8.97 / $10.66	Professional		$7.46	$8.97	$10.66