Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.87 / $29.73 / $59.46	Facility		$14.87	$29.73	$59.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $23.78 / $127.44	Professional		$14.87	$23.78	$127.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $22.72 / $30.09	Professional		$9.97	$22.72	$30.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $10.90 / $10.90	Professional		$10.90	$10.90	$10.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.17 / $22.22 / $31.11	Facility		$14.17	$22.22	$31.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $19.82 / $30.09	Professional		$16.89	$19.82	$30.09
United Facility/Professional Facility Modifier Low / Median / High Price $17.84 / $17.84 / $17.84	Facility		$17.84	$17.84	$17.84
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $9.57 / $11.89	Professional		$8.32	$9.57	$11.89