Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $169.82	Professional		$19.95	$28.18	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $31.62	Professional		$28.18	$28.18	$31.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $21.88 / $91.20	Professional		$6.61	$21.88	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $22.39 / $33.11	Facility		$12.59	$22.39	$33.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $28.18 / $31.62	Professional		$12.59	$28.18	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $17.78 / $30.90	Facility		$1.78	$17.78	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.50 / $29.51	Professional		$16.60	$19.50	$29.51