Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $23.99	Professional		$15.14	$18.20	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $33.88	Professional		$18.20	$25.70	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $32.36 / $33.11	Professional		$26.30	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $22.39 / $38.02	Facility		$16.60	$22.39	$38.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.92 / $38.90	Professional		$18.20	$26.92	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.92 / $36.31	Professional		$18.20	$26.92	$36.31