Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.42 / $46.83 / $93.66	Facility		$23.42	$46.83	$93.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $37.46 / $200.75	Professional		$23.42	$37.46	$200.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.29 / $20.29 / $20.29	Facility		$20.29	$20.29	$20.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.20 / $33.38 / $49.58	Professional		$27.20	$33.38	$49.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.39 / $50.89 / $50.89	Professional		$48.39	$50.89	$50.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.57 / $30.82 / $39.34	Facility		$27.57	$30.82	$39.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.60 / $37.78 / $44.96	Professional		$28.60	$37.78	$44.96
United Facility/Professional Facility Modifier Low / Median / High Price $28.10 / $28.10 / $28.10	Facility		$28.10	$28.10	$28.10
United Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $12.29 / $18.73	Professional		$11.58	$12.29	$18.73