Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.74 / $12.74 / $12.74	Facility		$12.74	$12.74	$12.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $12.13 / $19.20	Professional		$10.24	$12.13	$19.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $19.04 / $22.87	Professional		$14.60	$19.04	$22.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $18.19 / $232.10	Professional		$18.19	$18.19	$232.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.60 / $19.96 / $61.93	Facility		$14.60	$19.96	$61.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $19.04 / $22.87	Professional		$14.28	$19.04	$22.87
United Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,327.00 / $1,327.00	Facility		$775.00	$1,327.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $20.30 / $27.65	Professional		$16.64	$20.30	$27.65