Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.02 / $15.14	Professional		$10.96	$12.02	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $12.88	Professional		$11.75	$11.75	$12.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $16.22 / $33.11	Professional		$11.22	$16.22	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $13.49 / $125.89	Facility		$4.68	$13.49	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $125.89 / $125.89	Professional		$16.60	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $30.20 / $125.89	Professional		$12.02	$30.20	$125.89