Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.33 / $0.33	Facility		$0.33	$0.33	$0.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.33 / $0.51	Professional		$0.33	$0.33	$0.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.28 / $0.28	Facility		$0.28	$0.28	$0.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.28	Professional		$0.28	$0.28	$0.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.42 / $1,500.00	Professional		$0.30	$0.42	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.36 / $0.42	Facility		$0.28	$0.36	$0.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.33	Professional		$0.28	$0.28	$0.33
United Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.39 / $0.39	Professional		$0.39	$0.39	$0.39