Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $14.05 / $14.05	Facility		$14.05	$14.05	$14.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $14.05 / $17.82	Professional		$14.05	$14.05	$17.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.75 / $10.75 / $10.75	Facility		$10.75	$10.75	$10.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $10.75 / $10.75	Professional		$7.85	$10.75	$10.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $70.00	Professional		$50.00	$60.00	$70.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.75 / $14.05 / $28.61	Facility		$10.75	$14.05	$28.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $10.75 / $10.75	Professional		$7.85	$10.75	$10.75
United Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $52.94 / $52.94	Professional		$52.94	$52.94	$52.94