Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $12.86 / $12.86	Facility		$12.86	$12.86	$12.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $19.75 / $56.77	Professional		$11.82	$19.75	$56.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $13.34 / $13.34	Facility		$13.34	$13.34	$13.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $13.34 / $13.34	Professional		$9.74	$13.34	$13.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.98 / $26.23 / $39.34	Professional		$20.98	$26.23	$39.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.34 / $6.34 / $19.71	Facility		$6.34	$6.34	$19.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $13.34 / $24.52	Professional		$9.74	$13.34	$24.52
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $9.82 / $14.78	Professional		$8.91	$9.82	$14.78