Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Facility		$12.00	$12.00	$12.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $18.42 / $56.28	Professional		$11.02	$18.42	$56.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.18 / $12.18 / $12.18	Facility		$12.18	$12.18	$12.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $12.18 / $12.18	Professional		$8.89	$12.18	$12.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.56 / $24.46 / $36.69	Professional		$19.56	$24.46	$36.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.91 / $5.91 / $18.38	Facility		$5.91	$5.91	$18.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $12.18 / $22.87	Professional		$8.89	$12.18	$22.87
United Facility/Professional Professional Modifier Low / Median / High Price $8.31 / $9.15 / $13.78	Professional		$8.31	$9.15	$13.78