Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.99 / $24.99 / $24.99	Facility		$24.99	$24.99	$24.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $21.84 / $24.99	Professional		$21.84	$21.84	$24.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Facility		$21.05	$21.05	$21.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Professional		$21.05	$21.05	$21.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $22.18 / $26.38	Facility		$21.05	$22.18	$26.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Professional		$21.05	$21.05	$21.05
United Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Professional		$21.05	$21.05	$21.05