Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $29.37 / $29.37	Facility		$20.99	$29.37	$29.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $26.66 / $52.11	Professional		$20.99	$26.66	$52.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Facility		$20.99	$20.99	$20.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Professional		$20.99	$20.99	$20.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $20.99 / $22.14	Facility		$20.99	$20.99	$22.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Professional		$20.99	$20.99	$20.99
United Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Professional		$20.99	$20.99	$20.99