Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.83 / $13.83 / $13.83	Facility		$13.83	$13.83	$13.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.83 / $20.42 / $69.33	Professional		$13.83	$20.42	$69.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $19.64 / $25.84	Professional		$19.64	$19.64	$25.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $32.34 / $32.34	Professional		$9.69	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.91 / $24.18 / $32.21	Facility		$17.91	$24.18	$32.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $20.05 / $51.61	Professional		$19.64	$20.05	$51.61
United Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $28.62 / $37.64	Professional		$20.90	$28.62	$37.64