Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.16 / $40.33 / $80.64	Facility		$20.16	$40.33	$80.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $32.26 / $172.84	Professional		$20.16	$32.26	$172.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.47 / $17.47 / $17.47	Facility		$17.47	$17.47	$17.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $30.71 / $49.58	Professional		$24.19	$30.71	$49.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.66 / $43.81 / $43.81	Professional		$41.66	$43.81	$43.81
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 / $32.52 / $43.48	Professional		$28.60	$32.52	$43.48
United Facility/Professional Facility Modifier Low / Median / High Price $24.19 / $24.19 / $24.19	Facility		$24.19	$24.19	$24.19
United Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $11.77 / $16.13	Professional		$11.29	$11.77	$16.13