Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $20.13 / $40.26	Facility		$10.07	$20.13	$40.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $16.10 / $86.29	Professional		$10.07	$16.10	$86.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.72 / $8.72 / $8.72	Facility		$8.72	$8.72	$8.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $15.28 / $22.69	Professional		$7.48	$15.28	$22.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.38 / $7.38 / $7.38	Professional		$7.38	$7.38	$7.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $16.10 / $23.46	Facility		$10.68	$16.10	$23.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $13.42 / $22.69	Professional		$12.74	$13.42	$22.69
United Facility/Professional Facility Modifier Low / Median / High Price $8.86 / $8.86 / $8.99	Facility		$8.86	$8.86	$8.99
United Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $7.09 / $8.05	Professional		$5.64	$7.09	$8.05