Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.72 / $52.72 / $52.72	Professional		$52.72	$52.72	$52.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.44 / $90.44 / $107.50	Facility		$90.44	$90.44	$107.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.44 / $90.44 / $90.44	Professional		$90.44	$90.44	$90.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.44 / $90.44 / $107.50	Facility		$90.44	$90.44	$107.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.24 / $90.44 / $110.23	Professional		$56.24	$90.44	$110.23
United Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $88.49 / $171.18	Professional		$76.50	$88.49	$171.18