Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $28.84	Facility		$12.02	$12.02	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.02 / $14.13	Professional		$10.96	$12.02	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $57.54	Facility		$14.45	$14.45	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $17.78	Professional		$14.45	$14.45	$17.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $75.86	Professional		$64.57	$64.57	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45