Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $34.67	Professional		$15.85	$19.95	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.88 / $54.95	Professional		$20.89	$33.88	$54.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $23.99 / $48.98	Facility		$16.98	$23.99	$48.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $35.48 / $53.70	Professional		$21.38	$35.48	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,621.81 / $1,621.81	Facility		$741.31	$1,621.81	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $38.02 / $53.70	Professional		$19.95	$38.02	$53.70