Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $43.65	Professional		$20.89	$25.12	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $67.61	Professional		$21.88	$21.88	$67.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $53.70 / $79.43	Professional		$41.69	$53.70	$79.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $39.81 / $61.66	Facility		$14.45	$39.81	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $66.07	Professional		$21.88	$21.88	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $24.55 / $60.26	Facility		$17.38	$24.55	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $22.39 / $33.88	Professional		$20.42	$22.39	$33.88