Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $28.84 / $53.70	Facility		$20.42	$28.84	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.05 / $25.12	Professional		$18.20	$19.05	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $36.31	Facility		$18.20	$18.20	$36.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $18.62 / $18.62	Professional		$17.38	$18.62	$18.62