Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.46 / $29.46 / $29.46	Facility		$29.46	$29.46	$29.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.46 / $45.24 / $168.16	Professional		$29.46	$45.24	$168.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.35 / $33.35 / $33.35	Facility		$33.35	$33.35	$33.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $33.35 / $33.35	Professional		$24.35	$33.35	$33.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $60.08 / $90.12	Professional		$48.06	$60.08	$90.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.19 / $17.19 / $45.14	Facility		$17.19	$17.19	$45.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $33.35 / $68.30	Professional		$24.35	$33.35	$68.30
United Facility/Professional Facility Modifier Low / Median / High Price $26.39 / $26.39 / $26.39	Facility		$26.39	$26.39	$26.39
United Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $26.63 / $40.11	Professional		$24.17	$26.63	$40.11