Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.25 / $62.25 / $62.25	Professional		$62.25	$62.25	$62.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,523.84 / $2,523.84 / $5,543.11	Facility		$2,523.84	$2,523.84	$5,543.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $2,523.84	Professional		$63.75	$63.75	$2,523.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,523.84 / $2,523.84 / $5,543.11	Facility		$2,523.84	$2,523.84	$5,543.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $2,199.84 / $3,018.24	Professional		$63.75	$2,199.84	$3,018.24
United Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $62.50 / $62.50	Professional		$62.50	$62.50	$62.50