Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $81.84 / $81.84	Professional		$13.28	$81.84	$81.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.15 / $115.15 / $115.15	Facility		$115.15	$115.15	$115.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $115.15	Professional		$14.00	$14.00	$115.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.15 / $115.15 / $115.15	Facility		$115.15	$115.15	$115.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $115.15	Professional		$14.00	$14.00	$115.15
United Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $16.00	Professional		$16.00	$16.00	$16.00