Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.72 / $41.49 / $66.53	Professional		$23.72	$41.49	$66.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.83 / $67.83 / $67.83	Facility		$67.83	$67.83	$67.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.83 / $67.83 / $101.91	Professional		$67.83	$67.83	$101.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.72 / $41.49 / $67.83	Facility		$23.72	$41.49	$67.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.83 / $67.83 / $101.91	Professional		$67.83	$67.83	$101.91
United Facility/Professional Professional Modifier Low / Median / High Price $43.68 / $44.98 / $78.08	Professional		$43.68	$44.98	$78.08