Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.75 / $121.59 / $121.59	Professional		$21.75	$121.59	$121.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.42 / $36.86 / $55.88	Facility		$27.42	$36.86	$55.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.93 / $26.85 / $27.42	Professional		$12.93	$26.85	$27.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.73 / $32.15 / $55.88	Facility		$23.73	$32.15	$55.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $18.91 / $27.42	Professional		$17.02	$18.91	$27.42
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $26.00	Professional		$7.94	$7.94	$26.00