Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.27 / $22.53 / $45.06	Facility		$11.27	$22.53	$45.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $18.02 / $96.58	Professional		$11.27	$18.02	$96.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.76 / $9.76 / $9.76	Facility		$9.76	$9.76	$9.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $16.93 / $28.12	Professional		$9.51	$16.93	$28.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $8.26 / $8.26	Professional		$8.26	$8.26	$8.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.38 / $18.02 / $29.39	Facility		$13.38	$18.02	$29.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.02 / $15.02 / $28.12	Professional		$15.02	$15.02	$28.12
United Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $13.52 / $13.52	Facility		$13.52	$13.52	$13.52
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.94 / $9.21	Professional		$6.31	$8.94	$9.21