Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.49 / $28.98 / $57.96	Facility		$14.49	$28.98	$57.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $23.18 / $124.23	Professional		$14.49	$23.18	$124.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.56 / $12.56 / $12.56	Facility		$12.56	$12.56	$12.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $22.30 / $35.52	Professional		$11.84	$22.30	$35.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $10.63 / $10.63	Professional		$10.63	$10.63	$10.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.56 / $23.18 / $37.00	Facility		$12.56	$23.18	$37.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $35.52	Professional		$19.32	$19.32	$35.52
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $11.26 / $11.60	Professional		$8.11	$11.26	$11.60