Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.44 / $32.88 / $65.76	Facility		$16.44	$32.88	$65.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $26.30 / $140.94	Professional		$16.44	$26.30	$140.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.25 / $14.25 / $14.25	Facility		$14.25	$14.25	$14.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.53 / $30.71 / $49.58	Professional		$19.53	$30.71	$49.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $35.72 / $35.72	Professional		$33.97	$35.72	$35.72
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 $25.21 / $29.04 / $43.48	Professional		$25.21	$29.04	$43.48
United Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $19.73 / $19.73	Facility		$19.73	$19.73	$19.73
United Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $11.77 / $13.15	Professional		$9.21	$11.77	$13.15