Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $32.36 / $42.66	Professional		$19.05	$32.36	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $66.07	Professional		$21.38	$21.38	$66.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $67.61	Professional		$36.31	$45.71	$67.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $29.51 / $47.86	Facility		$11.48	$29.51	$47.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $53.70	Professional		$21.38	$21.38	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.90 / $45.71	Facility		$30.20	$30.90	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $19.05 / $26.92	Professional		$17.78	$19.05	$26.92