Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.29 / $56.40 / $95.95	Professional		$45.29	$56.40	$95.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.81 / $87.81 / $87.81	Facility		$87.81	$87.81	$87.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $45.92 / $87.81	Professional		$45.92	$45.92	$87.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.62 / $68.67 / $108.07	Facility		$46.62	$68.67	$108.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $87.81 / $2,250,000.00	Professional		$45.92	$87.81	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.99 / $98.89 / $116.96	Professional		$82.99	$98.89	$116.96