Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.75 / $13.50 / $27.00	Facility		$6.75	$13.50	$27.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $10.80 / $57.87	Professional		$6.75	$10.80	$57.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.85 / $5.85 / $5.85	Facility		$5.85	$5.85	$5.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $10.33 / $12.91	Professional		$4.36	$10.33	$12.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $4.95 / $4.95	Professional		$4.95	$4.95	$4.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $9.61 / $13.47	Facility		$6.13	$9.61	$13.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.32 / $9.00 / $12.83	Professional		$7.32	$9.00	$12.83
United Facility/Professional Facility Modifier Low / Median / High Price $5.08 / $5.08 / $6.03	Facility		$5.08	$5.08	$6.03
United Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $4.09 / $5.40	Professional		$3.78	$4.09	$5.40