Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.93 / $8.93 / $8.93	Facility		$8.93	$8.93	$8.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.79 / $8.02	Professional		$5.73	$5.79	$8.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $5.73 / $85.00	Facility		$5.73	$5.73	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $5.73	Professional		$5.73	$5.73	$5.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $6.30 / $9.34	Professional		$5.73	$6.30	$9.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $5.73 / $7.28	Facility		$5.73	$5.73	$7.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $7.18	Professional		$5.73	$5.73	$7.18
United Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $5.73 / $5.73	Facility		$5.73	$5.73	$5.73
United Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $6.07	Professional		$5.73	$5.73	$6.07