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 $8.26 / $18.17 / $24.66	Professional		$8.26	$18.17	$24.66
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 $11.75 / $18.43 / $25.80	Facility		$11.75	$18.43	$25.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.01 / $15.99 / $24.66	Professional		$14.01	$15.99	$24.66
United Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $7.80 / $9.59	Professional		$6.72	$7.80	$9.59