Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $53.27 / $53.27	Professional		$53.27	$53.27	$53.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.81 / $102.41 / $203.79	Facility		$101.81	$102.41	$203.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $54.55 / $54.55	Professional		$54.55	$54.55	$54.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.81 / $102.41 / $203.79	Facility		$101.81	$102.41	$203.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $67.70 / $71.73	Professional		$54.55	$67.70	$71.73
United Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Professional		$56.42	$56.42	$56.42