Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.79 / $31.58 / $63.15	Facility		$15.79	$31.58	$63.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $25.26 / $135.35	Professional		$15.79	$25.26	$135.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.68 / $13.68 / $13.68	Facility		$13.68	$13.68	$13.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $24.37 / $35.52	Professional		$12.00	$24.37	$35.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $11.58 / $11.58	Professional		$11.58	$11.58	$11.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.86 / $25.26 / $37.04	Facility		$16.86	$25.26	$37.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $21.05 / $35.52	Professional		$20.12	$21.05	$35.52
United Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $11.39 / $12.63	Professional		$8.84	$11.39	$12.63