Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.84 / $101.84 / $101.84	Professional		$101.84	$101.84	$101.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.12 / $43.12 / $94.70	Facility		$43.12	$43.12	$94.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.12 / $108.39 / $108.39	Professional		$43.12	$108.39	$108.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.12 / $43.12 / $94.70	Facility		$43.12	$43.12	$94.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.74 / $44.21 / $108.39	Professional		$28.74	$44.21	$108.39
United Facility/Professional Professional Modifier Low / Median / High Price $122.70 / $122.70 / $122.70	Professional		$122.70	$122.70	$122.70