Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $68.56 / $68.56	Professional		$68.56	$68.56	$68.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.99 / $223.99 / $223.99	Facility		$223.99	$223.99	$223.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.99 / $223.99 / $223.99	Professional		$223.99	$223.99	$223.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.98 / $35.06 / $223.99	Facility		$20.98	$35.06	$223.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $52.58 / $223.99	Professional		$22.64	$52.58	$223.99
United Facility/Professional Professional Modifier Low / Median / High Price $63.28 / $74.79 / $158.18	Professional		$63.28	$74.79	$158.18