Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.87 / $67.87 / $67.87	Professional		$67.87	$67.87	$67.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.32 / $98.32 / $98.32	Facility		$98.32	$98.32	$98.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.32 / $98.32 / $98.32	Professional		$98.32	$98.32	$98.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.32 / $98.32 / $98.32	Facility		$98.32	$98.32	$98.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.32 / $118.21 / $139.08	Professional		$98.32	$118.21	$139.08
United Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $97.35 / $173.91	Professional		$46.60	$97.35	$173.91