Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.98 / $17.05 / $17.05	Facility		$10.98	$17.05	$17.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $13.94 / $27.59	Professional		$10.98	$13.94	$27.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.98 / $10.98 / $10.98	Facility		$10.98	$10.98	$10.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $10.98 / $10.98	Professional		$10.98	$10.98	$10.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.64 / $6.64 / $6.64	Professional		$6.64	$6.64	$6.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.17 / $5.77 / $10.98	Facility		$5.17	$5.77	$10.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $10.98 / $10.98	Professional		$10.98	$10.98	$10.98
United Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $10.98 / $10.98	Professional		$10.98	$10.98	$10.98