Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.83 / $148.91 / $261.36	Professional		$135.83	$148.91	$261.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $413.80 / $413.80 / $413.80	Facility		$413.80	$413.80	$413.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.38 / $413.80 / $413.80	Professional		$216.38	$413.80	$413.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.37 / $413.80 / $690.63	Facility		$194.37	$413.80	$690.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.38 / $413.80 / $2,250,000.00	Professional		$216.38	$413.80	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $254.57 / $254.57 / $254.57	Professional		$254.57	$254.57	$254.57