Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $42.66 / $43.65	Facility		$19.95	$42.66	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $19.50	Professional		$8.91	$12.02	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Facility		$8.51	$8.51	$8.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $11.75 / $19.05	Professional		$4.79	$11.75	$19.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Professional		$7.24	$7.24	$7.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $11.75 / $15.14	Facility		$8.51	$11.75	$15.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $11.75 / $19.05	Professional		$5.89	$11.75	$19.05
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $11.75 / $11.75	Facility		$5.75	$11.75	$11.75
United Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.79 / $7.94	Professional		$4.47	$4.79	$7.94