Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $24.00 / $48.00	Facility		$12.00	$24.00	$48.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $19.20 / $19.20	Professional		$12.00	$19.20	$19.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $10.40 / $10.40	Facility		$10.40	$10.40	$10.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $22.72	Professional		$18.17	$18.17	$22.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.20 / $16.00 / $19.20	Facility		$15.20	$16.00	$19.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $16.00 / $16.00	Professional		$13.12	$16.00	$16.00
United Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $16.00 / $16.00	Facility		$16.00	$16.00	$16.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $6.72 / $9.60	Professional		$6.72	$6.72	$9.60