Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $70.79 / $72.44	Facility		$33.11	$70.79	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $75.86	Professional		$15.14	$19.95	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $25.12 / $41.69	Professional		$13.80	$25.12	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $26.30 / $38.02	Facility		$19.50	$26.30	$38.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $33.88 / $54.95	Professional		$13.80	$33.88	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.95 / $19.95	Facility		$16.22	$19.95	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.88 / $13.49	Professional		$9.33	$12.88	$13.49