Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $10.09 / $10.09	Facility		$10.09	$10.09	$10.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.19 / $12.82	Professional		$10.09	$10.19	$12.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $10.09 / $10.09	Facility		$10.09	$10.09	$10.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $10.09	Professional		$10.09	$10.09	$10.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $17.61 / $60.00	Professional		$8.21	$17.61	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $10.09 / $11.87	Facility		$10.09	$10.09	$11.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $14.84	Professional		$10.09	$10.09	$14.84
United Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $10.09	Professional		$10.09	$10.09	$10.09