Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.04 / $26.47	Professional		$3.04	$3.04	$26.47
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 $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.08 / $60.00 / $60.00	Professional		$26.08	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $16.48 / $28.48	Facility		$16.00	$16.48	$28.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32
United Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $23.10 / $32.00	Professional		$16.80	$23.10	$32.00