Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $68.44 / $68.44	Professional		$68.44	$68.44	$68.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.73 / $116.73 / $138.75	Facility		$116.73	$116.73	$138.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.73 / $116.73 / $116.73	Professional		$116.73	$116.73	$116.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.73 / $116.73 / $138.75	Facility		$116.73	$116.73	$138.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.73 / $123.20 / $152.40	Professional		$116.73	$123.20	$152.40
United Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $88.49 / $104.99	Professional		$75.98	$88.49	$104.99