Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.54 / $62.54 / $62.54	Professional		$62.54	$62.54	$62.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.20 / $116.20 / $138.13	Facility		$116.20	$116.20	$138.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.20 / $116.20 / $116.20	Professional		$116.20	$116.20	$116.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.55 / $68.19 / $138.13	Facility		$54.55	$68.19	$138.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $116.20 / $130.94	Professional		$64.75	$116.20	$130.94
United Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $33.00 / $78.69	Professional		$25.85	$33.00	$78.69