Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $309.45 / $309.45	Professional		$71.45	$309.45	$309.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.10 / $90.10 / $90.10	Facility		$90.10	$90.10	$90.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.88 / $81.09 / $90.10	Professional		$64.88	$81.09	$90.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.10 / $90.10 / $90.10	Facility		$90.10	$90.10	$90.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.93 / $62.14 / $81.41	Professional		$55.93	$62.14	$81.41
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $26.10 / $79.81	Professional		$26.10	$26.10	$79.81