Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.41 / $105.41 / $105.41	Professional		$105.41	$105.41	$105.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $132.91 / $132.91	Facility		$132.91	$132.91	$132.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.91 / $132.91 / $132.91	Professional		$132.91	$132.91	$132.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $132.91 / $132.91	Facility		$132.91	$132.91	$132.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $82.49 / $132.91	Professional		$82.49	$82.49	$132.91
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $38.50 / $91.66	Professional		$38.50	$38.50	$91.66