Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.03 / $12.03 / $12.03	Facility		$12.03	$12.03	$12.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $17.32 / $17.32	Professional		$8.19	$17.32	$17.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.09 / $28.09 / $28.09	Facility		$28.09	$28.09	$28.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $28.09 / $28.09	Professional		$20.51	$28.09	$28.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $100.00 / $150.00	Professional		$60.00	$100.00	$150.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $10.81 / $31.50	Facility		$10.81	$10.81	$31.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $28.09 / $28.09	Professional		$20.51	$28.09	$28.09
United Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $14.08 / $24.16	Professional		$13.22	$14.08	$24.16