Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $24.40 / $99.24	Professional		$20.64	$24.40	$99.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $20.66 / $20.66	Facility		$20.66	$20.66	$20.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $20.66 / $24.31	Professional		$17.55	$20.66	$24.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $34.40 / $51.60	Professional		$27.52	$34.40	$51.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.42 / $9.42 / $25.85	Facility		$9.42	$9.42	$25.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $24.31 / $40.31	Professional		$17.55	$24.31	$40.31
United Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $14.59 / $21.97	Professional		$13.37	$14.59	$21.97