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 / $66.07	Professional		$10.96	$15.14	$66.07
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 $8.32 / $18.20 / $24.55	Professional		$8.32	$18.20	$24.55
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 $10.47 / $17.78 / $22.91	Facility		$10.47	$17.78	$22.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $20.42 / $33.11	Professional		$8.32	$20.42	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $14.45 / $14.45	Facility		$9.77	$14.45	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $7.76 / $9.55	Professional		$6.76	$7.76	$9.55