Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $23.43 / $23.43	Facility		$15.04	$23.43	$23.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $19.10 / $39.46	Professional		$15.04	$19.10	$39.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $15.04 / $15.04	Facility		$15.04	$15.04	$15.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $15.04	Professional		$15.04	$15.04	$15.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $15.38 / $15.38	Professional		$15.38	$15.38	$15.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $14.32 / $15.04	Facility		$12.64	$14.32	$15.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $15.04	Professional		$15.04	$15.04	$15.04
United Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $15.04	Professional		$15.04	$15.04	$15.04