Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.99 / $13.99 / $13.99	Facility		$13.99	$13.99	$13.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $21.48 / $78.48	Professional		$13.99	$21.48	$78.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $15.80 / $15.80	Facility		$15.80	$15.80	$15.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $15.80 / $15.80	Professional		$11.53	$15.80	$15.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $28.53 / $42.79	Professional		$22.82	$28.53	$42.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $8.15 / $21.44	Facility		$8.15	$8.15	$21.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $15.80 / $31.88	Professional		$11.53	$15.80	$31.88
United Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $12.61 / $19.00	Professional		$11.45	$12.61	$19.00