Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.29 / $66.29 / $66.29	Professional		$66.29	$66.29	$66.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.04 / $123.04 / $270.22	Facility		$123.04	$123.04	$270.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.89 / $67.89 / $123.04	Professional		$67.89	$67.89	$123.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.04 / $123.04 / $270.22	Facility		$123.04	$123.04	$270.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.85 / $107.24 / $147.13	Professional		$46.85	$107.24	$147.13
United Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $66.56 / $66.56	Professional		$66.56	$66.56	$66.56