Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.97 / $5.97 / $9.00	Facility		$5.97	$5.97	$9.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $6.22 / $7.20	Professional		$5.18	$6.22	$7.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.55 / $6.55 / $85.00	Facility		$6.55	$6.55	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $6.55 / $6.55	Professional		$6.55	$6.55	$6.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $7.64 / $1,500.00	Professional		$6.95	$7.64	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.15 / $6.55 / $11.59	Facility		$4.15	$6.55	$11.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $6.55 / $6.55	Professional		$6.55	$6.55	$6.55
United Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $11.59 / $12.29	Professional		$11.59	$11.59	$12.29