Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $33.97 / $67.95	Facility		$16.98	$33.97	$67.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $27.18 / $145.63	Professional		$16.98	$27.18	$145.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.72 / $14.72 / $14.72	Facility		$14.72	$14.72	$14.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $26.02 / $42.42	Professional		$14.18	$26.02	$42.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $12.46 / $12.46	Professional		$12.46	$12.46	$12.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.17 / $27.18 / $44.31	Facility		$20.17	$27.18	$44.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.65 / $22.65 / $42.42	Professional		$22.65	$22.65	$42.42
United Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $13.39 / $13.89	Professional		$9.51	$13.39	$13.89