Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $42.75 / $85.50	Facility		$21.38	$42.75	$85.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $34.20 / $183.26	Professional		$21.38	$34.20	$183.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.53 / $18.53 / $18.53	Facility		$18.53	$18.53	$18.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $32.63 / $49.33	Professional		$16.52	$32.63	$49.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $15.68 / $15.68	Professional		$15.68	$15.68	$15.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.42 / $34.20 / $51.45	Facility		$23.42	$34.20	$51.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $28.50 / $49.33	Professional		$27.94	$28.50	$49.33
United Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $15.65 / $17.10	Professional		$11.97	$15.65	$17.10