Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $25.20 / $50.40	Facility		$12.60	$25.20	$50.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $20.16 / $108.02	Professional		$12.60	$20.16	$108.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $10.92 / $10.92	Facility		$10.92	$10.92	$10.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $19.41 / $24.26	Professional		$7.79	$19.41	$24.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $9.24 / $9.24	Professional		$9.24	$9.24	$9.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $17.43 / $24.40	Facility		$10.92	$17.43	$24.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $16.80 / $23.68	Professional		$13.25	$16.80	$23.68
United Facility/Professional Facility Modifier Low / Median / High Price $15.12 / $15.12 / $15.12	Facility		$15.12	$15.12	$15.12
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $7.38 / $10.08	Professional		$7.06	$7.38	$10.08