Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $33.89 / $154.97	Professional		$16.91	$33.89	$154.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $26.10 / $26.10	Facility		$26.10	$26.10	$26.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $26.10 / $40.49	Professional		$26.10	$26.10	$40.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $41.52 / $75.00	Professional		$5.28	$41.52	$75.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $28.46 / $42.21	Facility		$16.91	$28.46	$42.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $26.10 / $40.49	Professional		$26.10	$26.10	$40.49
United Facility/Professional Facility Modifier Low / Median / High Price $2.64 / $23.81 / $38.83	Facility		$2.64	$23.81	$38.83
United Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $25.23 / $40.81	Professional		$23.68	$25.23	$40.81