Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.06 / $17.76 / $17.76	Facility		$13.06	$17.76	$17.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $16.59 / $40.92	Professional		$13.06	$16.59	$40.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.06 / $13.06 / $13.06	Facility		$13.06	$13.06	$13.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.06 / $13.06	Professional		$13.06	$13.06	$13.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.39 / $17.39 / $48.05	Facility		$12.39	$17.39	$48.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.06 / $13.06	Professional		$13.06	$13.06	$13.06
United Facility/Professional Facility Modifier Low / Median / High Price $11.94 / $11.94 / $11.94	Facility		$11.94	$11.94	$11.94
United Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.06 / $13.06	Professional		$13.06	$13.06	$13.06