Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.85 / $250.77 / $250.77	Professional		$44.85	$250.77	$250.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.55 / $76.05 / $115.25	Facility		$56.55	$76.05	$115.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $56.27 / $56.55	Professional		$13.44	$56.27	$56.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $66.30 / $115.25	Facility		$28.49	$66.30	$115.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $35.10 / $56.55	Professional		$35.10	$35.10	$56.55
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $16.38 / $39.00	Professional		$11.22	$16.38	$39.00