Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $50.12	Professional		$28.18	$28.18	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Facility		$12.59	$12.59	$12.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $12.59	Professional		$10.72	$10.72	$12.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $34.67 / $70.79	Professional		$18.62	$34.67	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $87.10	Facility		$28.18	$28.18	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $12.59	Professional		$10.72	$10.72	$12.59
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $17.78 / $20.89	Facility		$10.96	$17.78	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $21.88	Professional		$13.18	$13.18	$21.88