Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.23 / $24.45 / $48.90	Facility		$12.23	$24.45	$48.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $19.55 / $104.81	Professional		$12.23	$19.55	$104.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.60 / $10.60 / $10.60	Facility		$10.60	$10.60	$10.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $6.91 / $23.23	Professional		$2.34	$6.91	$23.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.97 / $8.97 / $8.97	Professional		$8.97	$8.97	$8.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $7.07 / $17.93	Facility		$3.22	$7.07	$17.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $9.32 / $16.30	Professional		$3.84	$9.32	$16.30
United Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.22 / $9.77	Professional		$2.09	$2.22	$9.77