Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.67 / $25.67 / $25.67	Facility		$25.67	$25.67	$25.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.67 / $39.42 / $146.71	Professional		$25.67	$39.42	$146.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.33 / $36.33 / $36.33	Facility		$36.33	$36.33	$36.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $26.52 / $64.00	Professional		$26.52	$26.52	$64.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.88 / $52.36 / $78.54	Professional		$41.88	$52.36	$78.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $14.99 / $39.35	Facility		$14.99	$14.99	$39.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $36.33 / $61.01	Professional		$26.52	$36.33	$61.01
United Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $23.01 / $25.05	Facility		$17.89	$23.01	$25.05
United Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $23.21 / $34.97	Professional		$21.08	$23.21	$34.97