Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.26 / $44.53 / $89.04	Facility		$22.26	$44.53	$89.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.26 / $35.61 / $190.84	Professional		$22.26	$35.61	$190.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.29 / $19.29 / $19.29	Facility		$19.29	$19.29	$19.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $34.28 / $55.74	Professional		$18.70	$34.28	$55.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $16.32 / $16.32	Professional		$16.32	$16.32	$16.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $35.61 / $58.06	Facility		$15.73	$35.61	$58.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.68 / $29.68 / $55.74	Professional		$29.68	$29.68	$55.74
United Facility/Professional Facility Modifier Low / Median / High Price $24.88 / $36.39 / $50.45	Facility		$24.88	$36.39	$50.45
United Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $17.80 / $18.20	Professional		$12.47	$17.80	$18.20