Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.35 / $44.70 / $89.40	Facility		$22.35	$44.70	$89.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $35.76 / $191.61	Professional		$22.35	$35.76	$191.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.37 / $19.37 / $19.37	Facility		$19.37	$19.37	$19.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $33.38 / $49.58	Professional		$26.67	$33.38	$49.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $48.57 / $48.57	Professional		$46.19	$48.57	$48.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.57 / $30.82 / $39.22	Facility		$27.57	$30.82	$39.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.60 / $36.04 / $43.48	Professional		$28.60	$36.04	$43.48
United Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $12.29 / $17.88	Professional		$11.58	$12.29	$17.88