Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.30 / $16.05 / $16.05	Facility		$10.30	$16.05	$16.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $13.08 / $24.52	Professional		$10.30	$13.08	$24.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.30 / $10.30 / $10.30	Facility		$10.30	$10.30	$10.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $10.30	Professional		$10.30	$10.30	$10.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $11.86 / $11.86	Professional		$11.86	$11.86	$11.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $11.41 / $19.22	Facility		$9.60	$11.41	$19.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $10.30	Professional		$10.30	$10.30	$10.30
United Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $10.30	Professional		$10.30	$10.30	$10.30