Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $121.72 / $121.72	Professional		$21.77	$121.72	$121.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.45 / $36.90 / $55.94	Facility		$27.45	$36.90	$55.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $27.36 / $27.45	Professional		$13.10	$27.36	$27.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.45 / $32.18 / $55.94	Facility		$27.45	$32.18	$55.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.04 / $17.04 / $27.45	Professional		$17.04	$17.04	$27.45
United Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $7.95 / $26.03	Professional		$7.95	$7.95	$26.03