Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $37.50 / $75.00	Facility		$18.75	$37.50	$75.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $30.00 / $30.00	Professional		$18.75	$30.00	$30.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $16.25 / $16.25	Facility		$16.25	$16.25	$16.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.75 / $40.75 / $40.75	Professional		$38.75	$40.75	$40.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $25.00 / $31.50	Facility		$16.25	$25.00	$31.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.38 / $30.00 / $34.75	Professional		$26.38	$30.00	$34.75
United Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $10.50 / $15.00	Professional		$10.50	$10.50	$15.00