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 / $111.05	Professional		$12.95	$20.72	$111.05
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 $6.54 / $19.73 / $24.78	Professional		$6.54	$19.73	$24.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $9.50 / $9.50	Professional		$9.50	$9.50	$9.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $16.41 / $20.38	Facility		$9.27	$16.41	$20.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $17.27 / $19.73	Professional		$11.08	$17.27	$19.73
United Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $6.39 / $10.36	Professional		$6.02	$6.39	$10.36