Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $22.39 / $50.12	Facility		$15.85	$22.39	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $25.70	Professional		$14.13	$14.13	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $14.45 / $85.11	Facility		$10.47	$14.45	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.79	Professional		$14.45	$14.45	$14.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $9.33 / $18.20	Professional		$8.51	$9.33	$18.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $17.38 / $147.91	Facility		$14.45	$17.38	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.96 / $10.96	Professional		$10.47	$10.96	$10.96
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $15.85	Professional		$14.45	$14.45	$15.85