Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.71 / $33.71 / $33.71	Facility		$33.71	$33.71	$33.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $29.45 / $33.71	Professional		$29.45	$29.45	$33.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Facility		$30.08	$30.08	$30.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Professional		$30.08	$30.08	$30.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.61 / $25.14 / $30.08	Facility		$22.61	$25.14	$30.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Professional		$30.08	$30.08	$30.08
United Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Professional		$30.08	$30.08	$30.08