Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.55 / $15.55 / $15.55	Facility		$15.55	$15.55	$15.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.55 / $19.89 / $23.23	Professional		$15.55	$19.89	$23.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.32 / $21.32 / $21.32	Facility		$21.32	$21.32	$21.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $35.14 / $54.16	Professional		$22.45	$35.14	$54.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.14 / $32.34 / $32.34	Professional		$30.14	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.48 / $20.35 / $41.40	Facility		$16.48	$20.35	$41.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $37.11 / $54.16	Professional		$22.45	$37.11	$54.16
United Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $35.20 / $54.28	Professional		$19.85	$35.20	$54.28