Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.47 / $32.47 / $32.47	Facility		$32.47	$32.47	$32.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $49.87 / $185.61	Professional		$32.47	$49.87	$185.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $36.78 / $36.78	Facility		$36.78	$36.78	$36.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $26.85 / $81.09	Professional		$26.85	$26.85	$81.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $66.23 / $99.34	Professional		$52.98	$66.23	$99.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $18.96 / $49.77	Facility		$18.96	$18.96	$49.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $36.78 / $77.20	Professional		$26.85	$36.78	$77.20
United Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $66.70 / $78.48	Facility		$66.70	$66.70	$78.48
United Facility/Professional Professional Modifier Low / Median / High Price $26.66 / $29.36 / $44.23	Professional		$26.66	$29.36	$44.23