Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $102.12 / $102.12	Professional		$30.99	$102.12	$102.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.17 / $37.17 / $37.17	Facility		$37.17	$37.17	$37.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $37.17 / $37.17	Professional		$37.17	$37.17	$37.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.17 / $37.17 / $37.17	Facility		$37.17	$37.17	$37.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $27.89 / $37.17	Professional		$27.89	$27.89	$37.17
United Facility/Professional Professional Modifier Low / Median / High Price $38.33 / $46.15 / $52.19	Professional		$38.33	$46.15	$52.19