Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.23 / $12.23 / $12.23	Facility		$12.23	$12.23	$12.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $11.06 / $12.23	Professional		$6.13	$11.06	$12.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $6.87 / $15.23	Professional		$6.87	$6.87	$15.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $27.43 / $27.43	Professional		$20.20	$27.43	$27.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.72 / $16.82 / $26.24	Facility		$11.72	$16.82	$26.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $6.87 / $23.73	Professional		$6.87	$6.87	$23.73
United Facility/Professional Professional Modifier Low / Median / High Price $6.84 / $7.29 / $12.15	Professional		$6.84	$7.29	$12.15