Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $6.61 / $6.61	Facility		$4.23	$6.61	$6.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $5.37 / $8.69	Professional		$4.23	$5.37	$8.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $4.23 / $4.23	Facility		$4.23	$4.23	$4.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.23 / $4.23	Professional		$4.23	$4.23	$4.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $2.18	Professional		$2.18	$2.18	$2.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.82 / $4.23 / $4.23	Facility		$0.82	$4.23	$4.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.23 / $4.23	Professional		$4.23	$4.23	$4.23
United Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.23 / $4.23	Professional		$4.23	$4.23	$4.23