Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $63.10 / $64.57	Facility		$29.51	$63.10	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.20 / $23.99	Professional		$12.88	$18.20	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Facility		$12.59	$12.59	$12.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $22.91 / $37.15	Professional		$12.30	$22.91	$37.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $21.38 / $33.88	Facility		$12.59	$21.38	$33.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $30.20 / $42.66	Professional		$12.30	$30.20	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $17.78 / $17.78	Facility		$14.45	$17.78	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.48 / $12.02	Professional		$8.32	$11.48	$12.02