Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.00 / $249.00 / $427.78	Professional		$249.00	$249.00	$427.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.95 / $100.95 / $221.72	Facility		$100.95	$100.95	$221.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.95 / $100.95 / $255.00	Professional		$100.95	$100.95	$255.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.95 / $112.55 / $255.00	Facility		$100.95	$112.55	$255.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.11 / $100.95 / $255.00	Professional		$62.11	$100.95	$255.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $250.00 / $250.00	Professional		$250.00	$250.00	$250.00