Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.63 / $25.26 / $50.52	Facility		$12.63	$25.26	$50.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $20.21 / $108.28	Professional		$12.63	$20.21	$108.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.95 / $10.95 / $10.95	Facility		$10.95	$10.95	$10.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $19.41 / $31.57	Professional		$10.60	$19.41	$31.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $9.26 / $9.26	Professional		$9.26	$9.26	$9.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.93 / $20.21 / $32.93	Facility		$8.93	$20.21	$32.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $31.57	Professional		$16.84	$16.84	$31.57
United Facility/Professional Professional Modifier Low / Median / High Price $7.07 / $10.01 / $10.32	Professional		$7.07	$10.01	$10.32