Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $200.86 / $200.86	Professional		$193.60	$200.86	$200.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.91 / $130.91 / $205.70	Facility		$130.91	$130.91	$205.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.91 / $130.91 / $205.70	Professional		$130.91	$130.91	$205.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.91 / $242.00 / $275.00	Facility		$130.91	$242.00	$275.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.91 / $205.70 / $1,800,000.00	Professional		$130.91	$205.70	$1,800,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $220.00 / $220.00	Professional		$220.00	$220.00	$220.00