Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.63 / $28.63 / $28.63	Facility		$28.63	$28.63	$28.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $27.94 / $113.64	Professional		$23.63	$27.94	$113.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $26.07 / $26.07	Facility		$26.07	$26.07	$26.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $22.16 / $27.84	Professional		$16.07	$22.16	$27.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $39.38 / $59.07	Professional		$31.50	$39.38	$59.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $10.78 / $29.60	Facility		$10.78	$10.78	$29.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $26.07 / $46.15	Professional		$16.07	$26.07	$46.15
United Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $16.70 / $25.16	Professional		$15.31	$16.70	$25.16