Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.61 / $30.90 / $56.20	Professional		$29.61	$30.90	$56.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $40.90 / $40.90	Professional		$40.90	$40.90	$40.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $60.00 / $1,000.00	Professional		$15.60	$60.00	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.63 / $25.32 / $56.20	Facility		$24.63	$25.32	$56.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $63.00 / $63.00	Professional		$63.00	$63.00	$63.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $17.68 / $42.62	Professional		$2.66	$17.68	$42.62