Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Facility		$5.00	$5.00	$5.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $6.46	Professional		$5.00	$5.00	$6.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.12 / $4.12 / $4.12	Facility		$4.12	$4.12	$4.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.12 / $4.18	Professional		$3.50	$4.12	$4.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $70.00 / $100.00	Professional		$32.34	$70.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.12 / $6.47 / $6.47	Facility		$4.12	$6.47	$6.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.12 / $4.12	Professional		$3.50	$4.12	$4.12
United Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $4.41 / $4.41	Professional		$0.32	$4.41	$4.41