Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $17.48 / $17.48	Facility		$17.48	$17.48	$17.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $14.15 / $17.48	Professional		$13.64	$14.15	$17.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $17.05 / $17.05	Facility		$17.05	$17.05	$17.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $17.05	Professional		$17.05	$17.05	$17.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $25.89 / $60.00	Professional		$12.08	$25.89	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.64 / $17.05 / $17.05	Facility		$13.64	$17.05	$17.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $17.05	Professional		$17.05	$17.05	$17.05
United Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $17.05	Professional		$17.05	$17.05	$17.05