Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $25.90 / $51.81	Facility		$12.95	$25.90	$51.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $20.72 / $20.72	Professional		$12.95	$20.72	$20.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.23 / $11.23 / $11.23	Facility		$11.23	$11.23	$11.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $19.82 / $24.78	Professional		$19.82	$19.82	$24.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,500.00	Professional		$1,500.00	$1,500.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.23 / $16.41 / $20.72	Facility		$11.23	$16.41	$20.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $17.27 / $17.27	Professional		$14.16	$17.27	$17.27
United Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $15.54 / $15.54	Facility		$15.54	$15.54	$15.54
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.25 / $10.36	Professional		$7.25	$7.25	$10.36