Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $39.39 / $54.22	Professional		$28.75	$39.39	$54.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.48 / $50.48 / $50.48	Facility		$50.48	$50.48	$50.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $42.31 / $59.94	Professional		$33.44	$42.31	$59.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.48 / $50.48 / $50.48	Facility		$50.48	$50.48	$50.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.95 / $45.62 / $60.36	Professional		$32.95	$45.62	$60.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $1,450.00 / $1,450.00	Facility		$1,450.00	$1,450.00	$1,450.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.72 / $64.38 / $74.37	Professional		$57.72	$64.38	$74.37