Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $64.57 / $66.07	Facility		$30.20	$64.57	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.05 / $66.07	Professional		$14.13	$19.05	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $23.44 / $38.02	Professional		$12.88	$23.44	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $23.99 / $35.48	Facility		$18.20	$23.99	$35.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $30.90 / $50.12	Professional		$12.88	$30.90	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $18.20 / $18.20	Facility		$14.79	$18.20	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.02 / $12.30	Professional		$8.51	$12.02	$12.30