Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.87 / $12.87 / $12.87	Facility		$12.87	$12.87	$12.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $14.53 / $15.53	Professional		$12.87	$14.53	$15.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.15 / $30.15 / $30.15	Facility		$30.15	$30.15	$30.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $30.15 / $30.15	Professional		$30.15	$30.15	$30.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $4.34 / $4.34	Professional		$4.34	$4.34	$4.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.60 / $15.13 / $30.15	Facility		$6.60	$15.13	$30.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $30.15 / $30.15	Professional		$30.15	$30.15	$30.15
United Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $17.50 / $17.50	Professional		$17.50	$17.50	$17.50