Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $51.29 / $52.48	Facility		$23.99	$51.29	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $42.66	Professional		$10.96	$15.14	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Facility		$10.47	$10.47	$10.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $18.20 / $30.20	Professional		$10.23	$18.20	$30.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Professional		$8.71	$8.71	$8.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $19.05 / $28.18	Facility		$14.13	$19.05	$28.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $24.55 / $39.81	Professional		$10.23	$24.55	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $14.45 / $14.45	Facility		$11.75	$14.45	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.33 / $9.77	Professional		$6.76	$9.33	$9.77