Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $71.45 / $71.45	Professional		$71.45	$71.45	$71.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.10 / $90.10 / $90.10	Facility		$90.10	$90.10	$90.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $89.31 / $90.10	Professional		$71.45	$89.31	$90.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.10 / $90.10 / $90.10	Facility		$90.10	$90.10	$90.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.93 / $55.93 / $90.10	Professional		$55.93	$55.93	$90.10
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $26.10 / $62.14	Professional		$26.10	$26.10	$62.14