Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.99 / $23.99 / $47.97	Facility		$11.99	$23.99	$47.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $19.19 / $102.82	Professional		$11.99	$19.19	$102.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $10.39 / $10.39	Facility		$10.39	$10.39	$10.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $18.17 / $30.09	Professional		$10.13	$18.17	$30.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $8.78 / $8.78	Professional		$8.78	$8.78	$8.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $19.19 / $31.26	Facility		$10.39	$19.19	$31.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $15.99 / $30.09	Professional		$15.99	$15.99	$30.09
United Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $9.51 / $9.80	Professional		$6.72	$9.51	$9.80