Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $4.54 / $4.54	Facility		$4.54	$4.54	$4.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $4.54 / $6.09	Professional		$4.54	$4.54	$6.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $9.27 / $9.27	Facility		$9.27	$9.27	$9.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $9.27 / $11.05	Professional		$6.77	$9.27	$11.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $4.54 / $13.24	Facility		$4.54	$4.54	$13.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $9.27 / $9.27	Professional		$6.77	$9.27	$9.27
United Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $6.02 / $10.46	Professional		$5.72	$6.02	$10.46