Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $17.39 / $17.39	Facility		$17.39	$17.39	$17.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $26.71 / $99.24	Professional		$17.39	$26.71	$99.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.27 / $24.27 / $24.27	Facility		$24.27	$24.27	$24.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $24.27 / $24.27	Professional		$17.72	$24.27	$24.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $35.47 / $53.20	Professional		$28.37	$35.47	$53.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.14 / $10.14 / $26.65	Facility		$10.14	$10.14	$26.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $24.27 / $40.31	Professional		$17.72	$24.27	$40.31
United Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $15.71 / $23.66	Professional		$14.26	$15.71	$23.66