Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.84 / $39.84 / $39.84	Professional		$39.84	$39.84	$39.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.25 / $15.25 / $33.49	Facility		$15.25	$15.25	$33.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $42.40 / $42.40	Professional		$15.25	$42.40	$42.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.25 / $15.25 / $33.49	Facility		$15.25	$15.25	$33.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $15.25 / $42.40	Professional		$10.16	$15.25	$42.40
United Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00