Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.49 / $24.49 / $24.49	Facility		$24.49	$24.49	$24.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.49 / $29.55 / $39.13	Professional		$24.49	$29.55	$39.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.64 / $41.64 / $41.64	Facility		$41.64	$41.64	$41.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $41.64 / $41.64	Professional		$41.64	$41.64	$41.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.82 / $39.82 / $39.82	Professional		$39.82	$39.82	$39.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.09 / $37.40 / $41.64	Facility		$28.09	$37.40	$41.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $41.64 / $41.64	Professional		$41.64	$41.64	$41.64
United Facility/Professional Professional Modifier Low / Median / High Price $47.14 / $47.14 / $47.14	Professional		$47.14	$47.14	$47.14