Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $22.84 / $109.86	Professional		$10.42	$22.84	$109.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.97 / $39.97 / $39.97	Facility		$39.97	$39.97	$39.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $39.97 / $39.97	Professional		$19.44	$39.97	$39.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.58 / $36.24 / $39.97	Facility		$28.58	$36.24	$39.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $44.62	Professional		$30.01	$30.01	$44.62
United Facility/Professional Professional Modifier Low / Median / High Price $14.59 / $16.14 / $18.48	Professional		$14.59	$16.14	$18.48