Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $21.79 / $21.79	Professional		$21.79	$21.79	$21.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.36 / $333.36 / $339.95	Facility		$333.36	$333.36	$339.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.33 / $174.33 / $333.36	Professional		$174.33	$174.33	$333.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $333.36 / $333.36 / $339.95	Facility		$333.36	$333.36	$339.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.33 / $290.56 / $398.66	Professional		$174.33	$290.56	$398.66
United Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $137.29 / $228.81	Professional		$125.00	$137.29	$228.81