Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.88 / $18.88 / $18.88	Facility		$18.88	$18.88	$18.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $29.00 / $107.78	Professional		$18.88	$29.00	$107.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $21.38 / $21.38	Professional		$15.61	$21.38	$21.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $38.50 / $57.75	Professional		$30.80	$38.50	$57.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.02 / $11.02 / $28.94	Facility		$11.02	$11.02	$28.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $21.38 / $43.78	Professional		$15.61	$21.38	$43.78
United Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $17.05 / $25.71	Professional		$15.50	$17.05	$25.71