Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $95.50 / $97.72	Facility		$44.67	$95.50	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $81.28	Professional		$19.95	$26.92	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $34.67 / $56.23	Professional		$18.62	$34.67	$56.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $35.48 / $51.29	Facility		$19.50	$35.48	$51.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $45.71 / $74.13	Professional		$18.62	$45.71	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $26.92 / $26.92	Facility		$21.88	$26.92	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.38 / $18.20	Professional		$12.59	$17.38	$18.20