Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $29.39 / $58.77	Facility		$14.69	$29.39	$58.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $23.51 / $125.96	Professional		$14.69	$23.51	$125.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.73 / $12.73 / $12.73	Facility		$12.73	$12.73	$12.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $22.72 / $39.46	Professional		$13.25	$22.72	$39.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.77 / $10.77 / $10.77	Professional		$10.77	$10.77	$10.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.38 / $23.51 / $41.02	Facility		$10.38	$23.51	$41.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $19.59 / $39.46	Professional		$19.59	$19.59	$39.46
United Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $12.31 / $12.86	Professional		$8.23	$12.31	$12.86