Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $10.93	Professional		$1.57	$1.57	$10.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $10.60 / $10.60	Professional		$10.60	$10.60	$10.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $60.00 / $60.00	Professional		$39.11	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.44 / $24.72 / $42.72	Facility		$22.44	$24.72	$42.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $10.60 / $10.60	Professional		$10.60	$10.60	$10.60
United Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $33.94 / $47.22	Professional		$24.00	$33.94	$47.22