Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.86 / $28.23 / $28.23	Facility		$18.86	$28.23	$28.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $25.35	Professional		$18.86	$18.86	$25.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.86 / $18.86 / $18.86	Facility		$18.86	$18.86	$18.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $18.86	Professional		$18.86	$18.86	$18.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.13 / $18.86 / $18.86	Facility		$18.13	$18.86	$18.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $18.86	Professional		$18.86	$18.86	$18.86
United Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $18.86	Professional		$18.86	$18.86	$18.86