Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.63 / $78.63 / $78.63	Professional		$78.63	$78.63	$78.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.69 / $83.69 / $83.69	Facility		$83.69	$83.69	$83.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.69 / $83.69 / $83.69	Professional		$83.69	$83.69	$83.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $83.69 / $94.74	Facility		$80.53	$83.69	$94.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.69 / $83.69 / $83.69	Professional		$83.69	$83.69	$83.69
United Facility/Professional Professional Modifier Low / Median / High Price $94.74 / $94.74 / $94.74	Professional		$94.74	$94.74	$94.74