Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.48 / $32.99 / $65.97	Facility		$16.48	$32.99	$65.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $26.39 / $141.40	Professional		$16.48	$26.39	$141.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.29 / $14.29 / $14.29	Facility		$14.29	$14.29	$14.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.87 / $25.19 / $41.44	Professional		$13.87	$25.19	$41.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $12.09 / $12.09	Professional		$12.09	$12.09	$12.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $26.39 / $42.99	Facility		$19.57	$26.39	$42.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $21.99 / $41.44	Professional		$21.99	$21.99	$41.44
United Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $16.23 / $16.23	Facility		$14.73	$16.23	$16.23
United Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $13.08 / $13.48	Professional		$9.24	$13.08	$13.48