Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.54 / $3.54 / $3.54	Facility		$3.54	$3.54	$3.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $4.50 / $18.00	Professional		$3.18	$4.50	$18.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.54 / $3.54 / $3.54	Facility		$3.54	$3.54	$3.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $3.54 / $3.54	Professional		$3.54	$3.54	$3.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $12.05 / $12.05	Professional		$12.05	$12.05	$12.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.54 / $12.79 / $38.63	Facility		$3.54	$12.79	$38.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $3.54 / $3.54	Professional		$3.54	$3.54	$3.54
United Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $3.54 / $3.54	Professional		$3.54	$3.54	$3.54