Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.85 / $90.85 / $90.85	Professional		$90.85	$90.85	$90.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.55 / $114.55 / $148.13	Facility		$114.55	$114.55	$148.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.55 / $114.55 / $114.55	Professional		$114.55	$114.55	$114.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.55 / $114.55 / $148.13	Facility		$114.55	$114.55	$148.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $71.09 / $114.55	Professional		$71.09	$71.09	$114.55
United Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $33.18 / $79.00	Professional		$33.18	$33.18	$79.00