Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.04 / $19.04 / $19.04	Facility		$19.04	$19.04	$19.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $16.63 / $19.04	Professional		$16.63	$16.63	$19.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $18.38 / $18.38	Professional		$18.38	$18.38	$18.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $16.98 / $20.73	Facility		$15.64	$16.98	$20.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $20.04 / $20.04	Professional		$20.04	$20.04	$20.04