Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.13 / $60.25 / $120.51	Facility		$30.13	$60.25	$120.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.13 / $48.20 / $258.29	Professional		$30.13	$48.20	$258.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.11 / $26.11 / $26.11	Facility		$26.11	$26.11	$26.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $19.23 / $57.82	Professional		$6.54	$19.23	$57.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $22.09 / $22.09	Professional		$22.09	$22.09	$22.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.23 / $17.89 / $44.19	Facility		$9.23	$17.89	$44.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $26.71 / $40.17	Professional		$8.60	$26.71	$40.17
United Facility/Professional Facility Modifier Low / Median / High Price $7.66 / $7.66 / $26.91	Facility		$7.66	$7.66	$26.91
United Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $6.35 / $24.10	Professional		$5.99	$6.35	$24.10