Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Facility		$1.10	$1.10	$1.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.10	Professional		$1.00	$1.00	$1.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Facility		$1.10	$1.10	$1.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Professional		$1.10	$1.10	$1.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,500.00	Professional		$60.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Facility		$1.10	$1.10	$1.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Professional		$1.10	$1.10	$1.10
United Facility/Professional Professional Modifier Low / Median / High Price $235.83 / $235.83 / $235.83	Professional		$235.83	$235.83	$235.83